archetype (adl_version=1.4; uid=1.2.36.1.2001.1001.100.135.1.1) openEHR-EHR-EVALUATION.medical_history_item.v1 concept [at0000] -- Medical History Item language original_language = <[ISO_639-1::en]> description original_author = < ["name"] = <""> ["organisation"] = <"National E-Health Transition Authority"> ["email"] = <"clinicalinfo@nehta.gov.au"> ["date"] = <"29-Jul-2011"> > details = < ["en"] = < language = <[ISO_639-1::en]> purpose = <"Allows recording of an entry in a medical history when it cannot be determined whether the entry is a Procedure or is a Problem/Diagnosis."> use = <""> misuse = <"Using this when the item can be identified as a Procedure or can be identified as a Problem/Diagnosis."> copyright = <"© openEHR Foundation"> > > lifecycle_state = <"ApprovedCandidate"> other_contributors = <"Eric Browne, NEHTA", "Stephen Chu, NEHTA", "Eleanor Royle, NEHTA", "Robert L'egan, NEHTA", "Don Stewart, NEHTA", "Ning Pan, NEHTA", "Stephen Royce, NEHTA"> other_details = < ["MD5-CAM-1.0.1"] = <"2EEB9BE471C74A227DC8B6826141F8E8"> > definition EVALUATION[at0000] matches { -- Medical History Item data matches { ITEM_TREE[at0001] matches { -- Tree items cardinality matches {1..*; unordered} matches { ELEMENT[at0002] matches { -- Medical History Item Description value matches { DV_TEXT matches {*} } } ELEMENT[at0003] occurrences matches {0..1} matches { -- Medical History Item Timeinterval value matches { DV_INTERVAL matches { upper matches { DV_DATE_TIME matches {*} } lower matches { DV_DATE_TIME matches {*} } } } } ELEMENT[at0004] occurrences matches {0..1} matches { -- Medical History Item Comment value matches { DV_TEXT matches {*} } } } } } } ontology terminologies_available = <"NCTIS-OID", ...> term_definitions = < ["en"] = < items = < ["at0000"] = < text = <"Medical History Item"> description = <"A medical history entry which cannot be categorised into one of the categories such as Procedure and Problem/Diagnosis."> detail_docref = <"data_groups/NEHTA-16627-Medical_History_Item-Data_Group.xml"> spec_id = <"135"> > ["at0001"] = < text = <"Tree"> description = <"@ internal @"> > ["at0002"] = < text = <"Medical History Item Description"> description = <"A description of the problem, diagnosis, intervention or other medical history item."> comment = <"Examples: 1. Hypercholesterolaemia. 2. Left Total Knee Replacement. 3. RLL pneumonia."> detail_docref = <"data_elements/NEHTA-16628-Medical_History_Item_Description-Data_Element.xml"> > ["at0003"] = < text = <"Medical History Item Timeinterval"> description = <"The date range during which the item applied or occurred."> detail_docref = <"data_elements/NEHTA-16629-Medical_History_Item_Timeinterval-Data_Element.xml"> > ["at0004"] = < text = <"Medical History Item Comment"> description = <"Free text comments providing additional information relevant to the item in question."> detail_docref = <"data_elements/NEHTA-16630-Medical_History_Item_Comment-Data_Element.xml"> > > > > term_bindings = < ["NCTIS-OID"] = < items = < ["at0000"] = <[NCTIS-OID::1.2.36.1.2001.1001.101.102.16627]> ["at0002"] = <[NCTIS-OID::1.2.36.1.2001.1001.101.103.16628]> ["at0003"] = <[NCTIS-OID::1.2.36.1.2001.1001.101.103.16629]> ["at0004"] = <[NCTIS-OID::1.2.36.1.2001.1001.101.103.16630]> > > >