archetype (adl_version=1.4; uid=98023ecd-2e80-4274-8882-a88f80925a1f) openEHR-EHR-EVALUATION.health_risk.v1 concept [at0000] -- Health risk assessment language original_language = <[ISO_639-1::en]> translations = < ["de"] = < language = <[ISO_639-1::de]> author = < ["name"] = <"Jasmin Buck, Sebastian Garde"> ["organisation"] = <"University of Heidelberg, Cental Queensland University"> > > ["es-ar"] = < language = <[ISO_639-1::es-ar]> author = < ["name"] = <"Alan March"> ["organisation"] = <"Hospital Universitario Austral, Pilar, Buenos Aires, Argentina"> ["email"] = <"alandmarch@gmail.com"> > > ["ar-sy"] = < language = <[ISO_639-1::ar-sy]> author = < ["name"] = <"Mona Saleh"> > > > description original_author = < ["name"] = <"Sam Heard"> ["organisation"] = <"Ocean Informatics"> ["email"] = <"sam.heard@oceaninformatics.com"> ["date"] = <"2006-04-23"> > details = < ["ar-sy"] = < language = <[ISO_639-1::ar-sy]> purpose = <"لتسجيل التخاطر/احتمالية الخطر لظرف صحي قد يحدث في المستقبل"> use = <"*Use to record known risk factors for an identified disease, condition, or other potentially adverse health issue, and/or an evaluation of the likelihood of the individual experiencing it in the future. As risk factors may be gradually identified over time and the overall risk reassessed as a result, the 'Date identified' will record the date on which each risk factor has been identified and the 'Last updated' data element will record the last time that the whole assessment was updated.(en)"> keywords = <"تقييم", ...> misuse = <""> copyright = <"© openEHR Foundation"> > ["de"] = < language = <[ISO_639-1::de]> purpose = <"Zur Dokumentation des Vorhandenseins eines Risikos mit möglichen Auswirkungen jetzt oder in der Zukunft"> use = <"*Use to record known risk factors for an identified disease, condition, or other potentially adverse health issue, and/or an evaluation of the likelihood of the individual experiencing it in the future. As risk factors may be gradually identified over time and the overall risk reassessed as a result, the 'Date identified' will record the date on which each risk factor has been identified and the 'Last updated' data element will record the last time that the whole assessment was updated.(en)"> keywords = <"Einschätzung", ...> misuse = <""> copyright = <"© openEHR Foundation"> > ["es-ar"] = < language = <[ISO_639-1::es-ar]> purpose = <"Para el registro de factores de riesgo para una enfermedad, condición u otro problema potencialmente adverso para la salud, y/o para la evaluación de la probabilidad de que el individuo experimente estas situaciones en el futuro. Este arquetipo se mantiene deliberadamente abierto y amplio en su alcance. El 'Riesgo para la Salud' puede ser determinado a partir de todos o algunos de los factores de riesgo: médicos, marcadores biológicos, estilo de vidas, sociales, riesgo ocupacional o cuestiones ambientales. El propósito de este arquetipo es la documentación de un riesgo potencial en un punto en el tiempo, y para asistir en la toma de decisiones que puedan reducir el mencionado riesgo, ya sea por parte de los médicos o del/de los individuo/s mismo/s."> use = <"*Use to record known risk factors for an identified disease, condition, or other potentially adverse health issue, and/or an evaluation of the likelihood of the individual experiencing it in the future. As risk factors may be gradually identified over time and the overall risk reassessed as a result, the 'Date identified' will record the date on which each risk factor has been identified and the 'Last updated' data element will record the last time that the whole assessment was updated.(en)"> keywords = <"evaluación", "riesgo", "adverso", "factor", "salud", "problema", "estimado", "manejo", "factor de riesgo", "estratificación de riesgo"> misuse = <""> > ["en"] = < language = <[ISO_639-1::en]> purpose = <"To record known risk factors for an identified disease, condition, or other potentially adverse health issue, and/or an evaluation of the likelihood of the individual experiencing it in the future. This archetype has been deliberately left open and broad in scope. The 'Health Risk' could be determined from risk factors from any or all of: medical; biomarker; lifestyle; social; occupational hazard; or environmental domains. The intent of this archetype is to document potential risk at a point in time, and to support decision-making that may reduce the identified risk, whether by clinicians or the individual themselves."> use = <"Use to record known risk factors for an identified disease, condition, or other potentially adverse health issue, and/or an evaluation of the likelihood of the individual experiencing it in the future. As risk factors may be gradually identified over time and the overall risk reassessed as a result, the 'Date identified' will record the date on which each risk factor has been identified and the 'Last updated' data element will record the last time that the whole assessment was updated."> keywords = <"assessment", "risk", "evaluation", "adverse", "factor", "health", "issue", "estimated", "management", "risk factor", "risk stratification"> misuse = <""> copyright = <"© openEHR Foundation"> > > lifecycle_state = <"published"> other_contributors = <"Tomas Alme, DIPS, Norway", "Nadim Anani, Karolinska Institutet, Sweden", "Vebjoern Arntzen, Oslo university hospital, Norway", "Koray Atalag, University of Auckland, New Zealand", "Silje Ljosland Bakke, Bergen Hospital Trust, Norway (openEHR Editor)", "Lars Bitsch-Larsen, Haukeland University hospital, Norway", "Rong Chen, Cambio Healthcare Systems, Sweden", "Stephen Chu, Queensland Health, Australia", "Shahla Foozonkhah, Ocean Informatics, Australia", "Einar Fosse, National Centre for Integrated Care and Telemedicine, Norway", "Sebastian Garde, Ocean Informatics, Germany", "Heather Grain, Llewelyn Grain Informatics, Australia", "Anca Heyd, DIPS ASA, Norway", "Lars Karlsen, DIPS ASA, Norway", "Heather Leslie, Ocean Informatics, Australia (openEHR Editor)", "Hallvard Lærum, Oslo University Hospital, Norway", "Luis Marco Ruiz, Norwegian Center for Integrated Care and Telemedicine, Norway", "Ian McNicoll, freshEHR Clinical Informatics, United Kingdom (openEHR Editor)", "Jussara Rotzsch, UNB, Brazil", "Norwegian Review Summary, Nasjonal IKT, Norway", "John Tore Valand, Helse Bergen, Norway"> other_details = < ["licence"] = <"This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/."> ["custodian_organisation"] = <"openEHR Foundation"> ["references"] = <"Health Risk, draft archetype, NEHTA Clinical Knowledge Manager [Internet]. Australia: National eHealth Transition Authority. Authored: 2006 Apr 23. Available at: http://dcm.nehta.org.au/ckm/#showArchetype_1013.1.1276 (accessed 2015 Mar 04). Archetype originated from the openEHR CKM."> ["current_contact"] = <"Heather Leslie, Ocean Informatics, heather.leslie@oceaninformatics.com"> ["original_namespace"] = <"org.openehr"> ["original_publisher"] = <"openEHR Foundation"> ["custodian_namespace"] = <"org.openehr"> ["MD5-CAM-1.0.1"] = <"33A8E5218F42CC4A9B41546EFC7D28E5"> ["build_uid"] = <"b02e9f95-3172-49b5-9cc5-3162a77a6bc0"> ["revision"] = <"1.0.0"> > definition EVALUATION[at0000] matches { -- Health risk assessment data matches { ITEM_TREE[at0001] matches { -- structure items cardinality matches {1..*; ordered} matches { ELEMENT[at0002] matches { -- Health risk value matches { DV_TEXT matches {*} } } CLUSTER[at0016] occurrences matches {0..*} matches { -- Risk factors items cardinality matches {1..*; unordered} matches { ELEMENT[at0013] matches { -- Risk factor value matches { DV_TEXT matches {*} } } ELEMENT[at0017] occurrences matches {0..1} matches { -- Presence value matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0018, -- Present at0026, -- Indeterminate at0019] -- Absent } } } } ELEMENT[at0014] occurrences matches {0..1} matches { -- Description value matches { DV_TEXT matches {*} } } ELEMENT[at0029] occurrences matches {0..1} matches { -- Date identified value matches { DV_DATE_TIME matches {*} } } ELEMENT[at0028] occurrences matches {0..1} matches { -- Mitigated value matches { DV_BOOLEAN matches { value matches {True} } } } ELEMENT[at0012] occurrences matches {0..*} matches { -- Link to evidence value matches { DV_URI matches {*} } } allow_archetype CLUSTER[at0027] occurrences matches {0..*} matches { -- Detail include archetype_id/value matches {/openEHR-EHR-CLUSTER\.family_prevalence\.v1/} } ELEMENT[at0030] occurrences matches {0..1} matches { -- Comment value matches { DV_TEXT matches {*} } } } } ELEMENT[at0003] occurrences matches {0..1} matches { -- Risk assessment value matches { DV_TEXT matches {*} DV_PROPORTION matches {*} C_DV_QUANTITY < property = <[openehr::380]> list = < ["1"] = < units = <"1"> > > > } } ELEMENT[at0020] occurrences matches {0..1} matches { -- Assessment type value matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0021, -- Relative risk at0022] -- Absolute risk } } } } ELEMENT[at0023] occurrences matches {0..1} matches { -- Time period value matches { DV_DURATION matches {*} } } ELEMENT[at0004] occurrences matches {0..1} matches { -- Rationale value matches { DV_TEXT matches {*} } } ELEMENT[at0015] occurrences matches {0..1} matches { -- Comment value matches { DV_TEXT matches {*} } } } } } protocol matches { ITEM_TREE[at0010] matches { -- Tree items cardinality matches {0..*; unordered} matches { ELEMENT[at0024] occurrences matches {0..1} matches { -- Last updated value matches { DV_DATE_TIME matches {*} } } ELEMENT[at0025] occurrences matches {0..1} matches { -- Assessment method value matches { DV_TEXT matches {*} } } allow_archetype CLUSTER[at0011] occurrences matches {0..*} matches { -- Extension include archetype_id/value matches {/.*/} } } } } } ontology term_definitions = < ["ar-sy"] = < items = < ["at0000"] = < text = <"*Health risk assessment(en)"> description = <"*Assessment of the potential and likelihood of future adverse health effects as determined by identified risk factors.(en)"> > ["at0001"] = < text = <"*structure(en)"> description = <"*@ internal @(en)"> > ["at0002"] = < text = <"*Health risk(en)"> description = <"*Identification of the potential future disease, condition or health issue for which the risk is being assessed, by name.(en)"> 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.(en)"> > ["at0003"] = < text = <"*Risk assessment(en)"> description = <"*Evaluation of the health risk.(en)"> 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 or value sets (such as low, medium or hig). The proportion data type allows recording of a percentage, a ratio or a fraction. The quantity data type allows recording of a decimal number.(en)"> > ["at0004"] = < text = <"*Rationale(en)"> description = <"*Justification for this risk assessment.(en)"> 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.(en)"> > ["at0010"] = < text = <"*Tree(en)"> description = <"*@ internal @(en)"> > ["at0011"] = < text = <"*Extension(en)"> description = <"*Additional information required to capture local content or to align with other reference models/formalisms.(en)"> comment = <"*For example: local information requirements or additional metadata to align with FHIR or CIMI equivalents.(en)"> > ["at0012"] = < text = <"*Link to evidence(en)"> description = <"*Identification of the path to the archetype or data node for the evidence of risk.(en)"> > ["at0013"] = < text = <"*Risk factor(en)"> description = <"*Identification of the risk factor, by name.(en)"> 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.(en)"> > ["at0014"] = < text = <"*Description(en)"> description = <"*Narrative description about the risk factor.(en)"> > ["at0015"] = < text = <"*Comment(en)"> description = <"*Additional narrative about the risk assessment not captured in other fields.(en)"> > ["at0016"] = < text = <"*Risk factors(en)"> description = <"*Details about each possible risk factor.(en)"> > ["at0017"] = < text = <"*Presence(en)"> description = <"*Presence of the risk factor.(en)"> > ["at0018"] = < text = <"*Present(en)"> description = <"*The risk factor has been identified for this individual.(en)"> > ["at0019"] = < text = <"*Absent(en)"> description = <"*The risk factor has not been identified for this individual.(en)"> > ["at0020"] = < text = <"*Assessment type(en)"> description = <"*Record of whether the risk assessment is a relative or absolute.(en)"> > ["at0021"] = < text = <"*Relative risk(en)"> description = <"*Ratio of probability of a health event or condition occurring compared to a population with similar characteristics eg same age and sex.(en)"> > ["at0022"] = < text = <"*Absolute risk(en)"> description = <"*Ratio of probability of a health event or condition occurring compared to the population as a whole.(en)"> > ["at0023"] = < text = <"*Time period(en)"> description = <"*The time period during which the predicted health risk is relevant.(en)"> comment = <"*That is: the risk of experiencing the identified 'Health risk' in the next years.(en)"> > ["at0024"] = < text = <"*Last Updated(en)"> description = <"*The date this health risk assessment was last updated.(en)"> 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.(en)"> > ["at0025"] = < text = <"*Assessment method(en)"> description = <"*Identification of the algorithm or guideline used to make the assessment of risk.(en)"> comment = <"*For example: Framingham cardiovascular risk calculator.(en)"> > ["at0026"] = < text = <"*Indeterminate(en)"> description = <"*It is not possible to determine if the risk factor is present or absent.(en)"> > ["at0027"] = < text = <"*Detail(en)"> description = <"*Structured detail about other aspects of the risk factor assessment.(en)"> comment = <"*For example: Prevalence of the risk factor in family members.(en)"> > ["at0028"] = < text = <"*Mitigated(en)"> description = <"*The risk factor has been identified as present, but then subsequently been mitigated by treatment or investigation.(en)"> comment = <"*Record as True if the risk factor has been treated or investigated and risk from this risk factor is considered to be lessened. For example: an infant given gentamicin in neonatal intensive care is regarded as having a risk of permanent hearing loss. If diagnostic testing shows no evidence of hearing loss in the first year of life, the risk of later hearing loss is considered to be much reduced, but still possible. This data element allows clinicians to say that the risk has been mitigated but should still be considered as a possibility in future. In practice, the risk factor could be maintained in the risk assessment in case it might impact the individual's health at a future time, but flagging that its contribution to risk calculation may not be as great as if it had not been previously treated or investigated. (en)"> > ["at0029"] = < text = <"*Date identified(en)"> description = <"*The date/time that the risk factor was identified.(en)"> > ["at0030"] = < text = <"*Comment(en)"> description = <"*Additional narrative about the risk factor not captured in other fields.(en)"> > > > ["de"] = < items = < ["at0000"] = < text = <"*Health risk assessment(en)"> description = <"*Assessment of the potential and likelihood of future adverse health effects as determined by identified risk factors.(en)"> > ["at0001"] = < text = <"structure"> description = <"@ internal @"> > ["at0002"] = < text = <"*Health risk(en)"> description = <"*Identification of the potential future disease, condition or health issue for which the risk is being assessed, by name.(en)"> 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.(en)"> > ["at0003"] = < text = <"*Risk assessment(en)"> description = <"*Evaluation of the health risk.(en)"> 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 or value sets (such as low, medium or hig). The proportion data type allows recording of a percentage, a ratio or a fraction. The quantity data type allows recording of a decimal number.(en)"> > ["at0004"] = < text = <"*Rationale(en)"> description = <"*Justification for this risk assessment.(en)"> 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.(en)"> > ["at0010"] = < text = <"*Tree(en)"> description = <"*@ internal @(en)"> > ["at0011"] = < text = <"*Extension(en)"> description = <"*Additional information required to capture local content or to align with other reference models/formalisms.(en)"> comment = <"*For example: local information requirements or additional metadata to align with FHIR or CIMI equivalents.(en)"> > ["at0012"] = < text = <"*Link to evidence(en)"> description = <"*Identification of the path to the archetype or data node for the evidence of risk.(en)"> > ["at0013"] = < text = <"*Risk factor(en)"> description = <"*Identification of the risk factor, by name.(en)"> 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.(en)"> > ["at0014"] = < text = <"*Description(en)"> description = <"*Narrative description about the risk factor.(en)"> > ["at0015"] = < text = <"*Comment(en)"> description = <"*Additional narrative about the risk assessment not captured in other fields.(en)"> > ["at0016"] = < text = <"*Risk factors(en)"> description = <"*Details about each possible risk factor.(en)"> > ["at0017"] = < text = <"*Presence(en)"> description = <"*Presence of the risk factor.(en)"> > ["at0018"] = < text = <"*Present(en)"> description = <"*The risk factor has been identified for this individual.(en)"> > ["at0019"] = < text = <"*Absent(en)"> description = <"*The risk factor has not been identified for this individual.(en)"> > ["at0020"] = < text = <"*Assessment type(en)"> description = <"*Record of whether the risk assessment is a relative or absolute.(en)"> > ["at0021"] = < text = <"*Relative risk(en)"> description = <"*Ratio of probability of a health event or condition occurring compared to a population with similar characteristics eg same age and sex.(en)"> > ["at0022"] = < text = <"*Absolute risk(en)"> description = <"*Ratio of probability of a health event or condition occurring compared to the population as a whole.(en)"> > ["at0023"] = < text = <"*Time period(en)"> description = <"*The time period during which the predicted health risk is relevant.(en)"> comment = <"*That is: the risk of experiencing the identified 'Health risk' in the next years.(en)"> > ["at0024"] = < text = <"*Last Updated(en)"> description = <"*The date this health risk assessment was last updated.(en)"> 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.(en)"> > ["at0025"] = < text = <"*Assessment method(en)"> description = <"*Identification of the algorithm or guideline used to make the assessment of risk.(en)"> comment = <"*For example: Framingham cardiovascular risk calculator.(en)"> > ["at0026"] = < text = <"*Indeterminate(en)"> description = <"*It is not possible to determine if the risk factor is present or absent.(en)"> > ["at0027"] = < text = <"*Detail(en)"> description = <"*Structured detail about other aspects of the risk factor assessment.(en)"> comment = <"*For example: Prevalence of the risk factor in family members.(en)"> > ["at0028"] = < text = <"*Mitigated(en)"> description = <"*The risk factor has been identified as present, but then subsequently been mitigated by treatment or investigation.(en)"> comment = <"*Record as True if the risk factor has been treated or investigated and risk from this risk factor is considered to be lessened. For example: an infant given gentamicin in neonatal intensive care is regarded as having a risk of permanent hearing loss. If diagnostic testing shows no evidence of hearing loss in the first year of life, the risk of later hearing loss is considered to be much reduced, but still possible. This data element allows clinicians to say that the risk has been mitigated but should still be considered as a possibility in future. In practice, the risk factor could be maintained in the risk assessment in case it might impact the individual's health at a future time, but flagging that its contribution to risk calculation may not be as great as if it had not been previously treated or investigated. (en)"> > ["at0029"] = < text = <"*Date identified(en)"> description = <"*The date/time that the risk factor was identified.(en)"> > ["at0030"] = < text = <"*Comment(en)"> description = <"*Additional narrative about the risk factor not captured in other fields.(en)"> > > > ["en"] = < items = < ["at0000"] = < text = <"Health risk assessment"> description = <"Assessment of the potential and likelihood of future adverse health effects as determined by identified risk factors."> > ["at0001"] = < text = <"structure"> description = <"@ internal @"> > ["at0002"] = < 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."> > ["at0003"] = < text = <"Risk assessment"> description = <"Evaluation of the health risk."> 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 or value sets (such as low, medium or hig). The proportion data type allows recording of a percentage, a ratio or a fraction. The quantity data type allows recording of a decimal number."> > ["at0004"] = < 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."> > ["at0010"] = < text = <"Tree"> description = <"@ internal @"> > ["at0011"] = < 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 or CIMI equivalents."> > ["at0012"] = < text = <"Link to evidence"> description = <"Identification of the path to the archetype or data node for the evidence of risk."> > ["at0013"] = < 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."> > ["at0014"] = < text = <"Description"> description = <"Narrative description about the risk factor."> > ["at0015"] = < text = <"Comment"> description = <"Additional narrative about the risk assessment not captured in other fields."> > ["at0016"] = < text = <"Risk factors"> description = <"Details about each possible risk factor."> > ["at0017"] = < text = <"Presence"> description = <"Presence of the risk factor."> > ["at0018"] = < text = <"Present"> description = <"The risk factor has been identified for this individual."> > ["at0019"] = < text = <"Absent"> description = <"The risk factor has not been identified for this individual."> > ["at0020"] = < text = <"Assessment type"> description = <"Record of whether the risk assessment is a relative or absolute."> > ["at0021"] = < text = <"Relative risk"> description = <"Ratio of probability of a health event or condition occurring compared to a population with similar characteristics eg same age and sex."> > ["at0022"] = < text = <"Absolute risk"> description = <"Ratio of probability of a health event or condition occurring compared to the population as a whole."> > ["at0023"] = < text = <"Time period"> description = <"The time period during which the predicted health risk is relevant."> comment = <"That is: the risk of experiencing the identified 'Health risk' in the next years."> > ["at0024"] = < 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 health 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."> > ["at0025"] = < text = <"Assessment method"> description = <"Identification of the algorithm or guideline used to make the assessment of risk."> comment = <"For example: Framingham cardiovascular risk calculator."> > ["at0026"] = < text = <"Indeterminate"> description = <"It is not possible to determine if the risk factor is present or absent."> > ["at0027"] = < text = <"Detail"> description = <"Structured detail about other aspects of the risk factor assessment."> comment = <"For example: Prevalence of the risk factor in family members."> > ["at0028"] = < text = <"Mitigated"> description = <"The risk factor has been identified as present, but then subsequently been mitigated by treatment or investigation."> comment = <"Record as True if the risk factor has been treated or investigated and risk from this risk factor is considered to be lessened. For example: an infant given gentamicin in neonatal intensive care is regarded as having a risk of permanent hearing loss. If diagnostic testing shows no evidence of hearing loss in the first year of life, the risk of later hearing loss is considered to be much reduced, but still possible. This data element allows clinicians to say that the risk has been mitigated but should still be considered as a possibility in future. In practice, the risk factor could be maintained in the risk assessment in case it might impact the individual's health at a future time, but flagging that its contribution to risk calculation may not be as great as if it had not been previously treated or investigated. "> > ["at0029"] = < text = <"Date identified"> description = <"The date/time that the risk factor was identified."> > ["at0030"] = < text = <"Comment"> description = <"Additional narrative about the risk factor not captured in other fields."> > > > ["es-ar"] = < items = < ["at0000"] = < text = <"Evaluacion de riesgo para la salud"> description = <"Evaluación del potencial y probabilidad de futuros efectos adversos para la salud determinados por la identificación de factores de riesgo."> > ["at0001"] = < text = <"structure"> description = <"@ internal @"> > ["at0002"] = < text = <"Riesgo para la salud"> description = <"Identificación, por nombre, de la enfermedad, condición o problema de salud potenciales para el cual se evalua el riesgo."> comment = <"Se prefiere la codificación del 'Riesgo para la salud' mediante una terminología cuando esto sea posible. El texto libre solo debería ser utilizado cuando no se disponga de una terminología adecuada. Por ejemplo: riesgo de enfermedad cardiovascular con factores de riesgo de hipertensión arterial e hipercolesterolemia."> > ["at0003"] = < text = <"Evaluación de riesgo"> description = <"Evaluación del riesgo para la salud."> comment = <"Pueden haber múltiples variaciones en la evaluación de riesgo. La elección del tipo de dato permite el registro de la evaluación tanto mediante texto libre como mediante un conjunto de valores (tales como bajo, medio o alto). El tipo de dato 'proporción' permite el registro como un porcentaje, una tasa o una fracción. El tipo de dato 'cantidad' permite el registro como un número decimal."> > ["at0004"] = < text = <"Razón"> description = <"Justificación para esta evaluación de riesgo."> comment = <"Detalles que pueden ser agregados en este elemento pueden incluir información acerca de la población, subgrupos, etc, frente a los cuales se evalúa el riesgo."> > ["at0010"] = < text = <"Tree"> description = <"@ internal @"> > ["at0011"] = < text = <"Extensión"> description = <"Información adicional requerida para registrar contenido local o para alinear con otros modelos o formalismos de referencia."> comment = <"Por ejemplo: requerimientos locales de información o metadatos adicionales para alinear con equivalentes FHIR o CIMI."> > ["at0012"] = < text = <"Vínculo a la evidencia"> description = <"Identificación del path al arquetipo o nodo de datos que contiene la evidencia del riesgo."> > ["at0013"] = < text = <"Factor de riesgo"> description = <"Identificación, por nombre, del factor de riesgo."> comment = <"Por ejemplo: hipertensión arterial e hipercolesterolemia, que pueden ser utilizados como parte de una evaluación general de enfermedad cardiovascular; o un marcador genético. Codificar el factor de riesgo mediante una terminología cuando esto sea posible."> > ["at0014"] = < text = <"Descripción"> description = <"Descripción narrativa del factor de riesgo."> > ["at0015"] = < text = <"Comentario"> description = <"Narrativa adicional acerca de la evaluación de riesgo no contemplada en otros campos."> > ["at0016"] = < text = <"Factores de riesgo"> description = <"Detalles acerca de cada factor de riesgo posible."> > ["at0017"] = < text = <"Presencia"> description = <"Presencia del factor de riesgo."> > ["at0018"] = < text = <"Presente"> description = <"El factor de riesgo ha sido identificado para este individuo."> > ["at0019"] = < text = <"Ausente"> description = <"El factor de riesgo no ha sido identificado para este individuo."> > ["at0020"] = < text = <"Tipo de evaluación"> description = <"Registro acerca de la condición relativa o absoluta de la evaluación del riesgo."> > ["at0021"] = < text = <"Riesgo relativo"> description = <"Probabilidad de la ocurrencia de un evento o condición de salud en comparación con una población de características similares. Ejemplo: mismo sexo y edad."> > ["at0022"] = < text = <"Riesgo absoluto"> description = <"Probabilidad de la ocurrencia de un evento o condición de salud en comparación con el total de la población."> > ["at0023"] = < text = <"Período de tiempo"> description = <"El período de tiempo durante el cual el riesgo para la salud previsto es relevante."> comment = <"Esto es: el riesgo de incurrir en el 'riesgo para la salud' identificado, en el curso de los próximos años."> > ["at0024"] = < text = <"Última actualización"> description = <"La fecha en la cual se realizó la ultima actualización de este factor de riesgo para la salud."> comment = <"Este dato puede considerarse redundante si el dato es registrado y almacenado utilizando COMPOSITIONs dentro de un sistema cerrado. Sin embargo, si el dato del factor de riesgo para la salud es extraído de su COMPOSITION original para, por ejemplo, ser incluido en un resumen de alta o mensaje, el dato de contexto temporal debe mantenerse asociado a los datos clínicos en cualquier circunstancia. Se asume que el sistema clínico puede efectuar una copia de la fecha del COMPOSITION para así reducir la duplicación de la entrada de datos por parte del clínico."> > ["at0025"] = < text = <"Método de evaluación"> description = <"Identificación del algoritmo o de la guia utilziada para realizar la evaluación de riesgo."> comment = <"Por ejemplo: el cálculo de riesgo cardiovascular de Framingham."> > ["at0026"] = < text = <"Indeterminado"> description = <"No es posible determinar la presencia o ausencia del factor de riesgo."> > ["at0027"] = < text = <"Detalle"> description = <"Detalle estructurado acerca de otros aspectos de la evaluación del factor de riesgo."> comment = <"Por ejemplo: Prevalencia del factor de riesgo en famililares."> > ["at0028"] = < text = <"Mitigado"> description = <"El factor de riesgo esta presente pero ha sido subsecuentemente mitigado por tratamiento o investigación."> comment = <"Registrar como Verdadero si el factor de riesgo ha sido tratado o mejor investigado como para determinar que el riesgo puede considerarse disminuido. Por ejemplo: un niño ha recibido gentamicina en la unidad de cuidados intensivos neonatales puede considerarse en riesgo para hipoacusia permanente. Si los estudios diagnósticos no muestran evidencia de hipoacusia en el primer año de vida, el riesgo de hipoacusia posterior pueden considerarse como muy disminuido pero aún posible. Este dato permite a los clínicos considerar que el riesgo ha sido mitigado pero debe aún ser considerado como una posibildiad futura. En la práctica, el factor de riesgo puede mantenerse para la evaluación de riesgo en caso de poder tener impacto futuro sobre la salud del individuo, pero señalando que su contribución a la determinación del riesgo puede no ser tan importante como si no hubiera sido tratado o investigado."> > ["at0029"] = < text = <"*Date identified(en)"> description = <"*The date/time that the risk factor was identified.(en)"> > ["at0030"] = < text = <"*Comment(en)"> description = <"*Additional narrative about the risk factor not captured in other fields.(en)"> > > > >