ARCHETYPE Covid-19 infection risk assessment (openEHR-EHR-EVALUATION.health_risk-covid.v0)

ARCHETYPE IDopenEHR-EHR-EVALUATION.health_risk-covid.v0
ConceptCovid-19 infection risk assessment
DescriptionAssessment of the potential and likelihood of Covid-19 infection as determined by identified risk factors.
UseTo record known risk factors for, and assess the potential risk of Covid-19 infection. 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.
PurposeTo record known risk factors for, and assess the potential risk of Covid-19 infection. 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.
ReferencesDerived from: https://www.openehr.org/ckm/archetypes/1013.1.4396
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.
Copyright© openEHR Foundation, HiGHmed, HiGHmed
AuthorsAuthor name: Sam Heard
Organisation: Ocean Informatics
Email: sam.heard@oceaninformatics.com
Date originally authored: 2006-04-23
Other Details LanguageAuthor name: Sam Heard
Organisation: Ocean Informatics
Email: sam.heard@oceaninformatics.com
Date originally authored: 2006-04-23
OtherDetails Language Independent{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=HiGHmed, references=Derived from: https://www.openehr.org/ckm/archetypes/1013.1.4396 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.highmed, original_publisher=HiGHmed, custodian_namespace=org.highmed, MD5-CAM-1.0.1=6A2A959D694EEA8067EA13B0A69F258A, build_uid=422f220e-669a-41cf-9fb9-56d40340bb83, revision=0.0.1-alpha}
Keywordsassessment, risk, evaluation, adverse, factor, health, issue, estimated, management, risk factor, risk stratification
Lifecyclein_development
UID17b46c57-290c-4156-804d-82e3f3cfb6d8
Language useden
Citeable Identifier1246.145.1123
Revision Number0.0.1-alpha
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Assessment of the potential and likelihood of Covid-19 infection as determined by identified risk factors., archetypeConceptComment=null, otherContributors=Tomas Alme, DIPS, Norway
Nadim Anani, Karolinska Institutet, Sweden
Vebjørn Arntzen, Oslo University Hospital, Norway
Koray Atalag, University of Auckland, New Zealand
Silje Ljosland Bakke, Nasjonal IKT HF, Norway (openEHR Editor)
Lars Bitsch-Larsen, Haukeland University hospital, Norway
Rong Chen, Cambio Healthcare Systems, Sweden
Stephen Chu, Queensland Health, Australia
Shahla Foozonkhah, Iran ministry of health and education, Iran
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
Lars Morgan Karlsen, DIPS ASA, Norway
Heather Leslie, Atomica Informatics, Australia (openEHR Editor)
Hallvard Lærum, Norwegian Directorate of e-health, 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 HF, Norway
John Tore Valand, Helse Bergen, Norway, originalLanguage=en, translators=German: Jasmin Buck, Sebastian Garde, University of Heidelberg, Cental Queensland University
Swedish: Annika Terner, B3 Healthcare Consulting AB, annika.terner@b3.se, .
Finnish:
Spanish (Argentina): Alan March, Hospital Universitario Austral, Pilar, Buenos Aires, Argentina, alandmarch@gmail.com
Norwegian Bokmål:
Arabic (Syria): Mona Saleh
Italian: Alessandro Sulis/Francesca Frexia/Cecilia Mascia, CRS4 - Center for advanced studies, research and development in Sardinia, Pula (Cagliari), Italy, alessandro.sulis@crs4.it/francesca.frexia@crs4.it/cecilia.mascia@crs4.it
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  • COVID-19 Risk assessment [Assessment of risk of COVID-19 infection.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/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=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0016]/items[at0013.1], code=at0013.1, 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_CODED_TEXT, bindings=null, values=
  • Contact with confirmed Covid-19 case [Contact with confirmed Covid-19 case within 14 days before symptom onset.]
  • Potential contact exposure based on location [Potential contact exposure based on location.]
  • Contact with suspected case/ pneumonia case [Contact with suspected case/ pneumonia case within 14 days before symptom onset.]
  • Contact with severe, unexplained respiratory disease [Contact with severe, unexplained respiratory disease in 10 days before symptom onset.]
  • Contact with birds in China [Contact with birds in China in 10 days before symptom onset.]
  • Contact with confirmed human case of Avian flu in China [Contact with confirmed human case of Avian flu in China in 10 days before symptom onset.]
  • Needs admission for respiratory disease [Does the patient require hospital admission with either clinical or radiological evidence of pneumonia, adult respiratory distress syndrome, or influenza like illness?]
  • Other household members are ill [The patient is in a house with other household members who are ill]
  • Household members with travel exposure [Members of the patient's household have travel exposure.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0016]/items[at0017.1], code=at0017.1, itemType=ELEMENT, level=3, text=Presence, description=Presence of the risk factor., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Present [The risk factor has been identified for this individual.]
  • Absent [The risk factor has not been identified for this individual.]
  • Unknown [No information is available for this risk factor.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0016]/items[at0014], code=at0014, itemType=ELEMENT, level=3, text=Description, description=Narrative description about the risk factor., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0016]/items[at0029], code=at0029, itemType=ELEMENT, level=3, text=Date identified, description=The date/time that the risk factor was identified., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0016]/items[at0028], code=at0028, itemType=ELEMENT, level=3, 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. , uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=Allowed values: {true}, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0016]/items[at0012], code=at0012, itemType=ELEMENT, level=3, text=Link to evidence, description=Identification of the path to the archetype or data node for the evidence of risk., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_URI, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0016]/items[at0027.1], code=at0027.1, itemType=SLOT, level=3, text=Detail, description=Structured detail about other aspects of the risk factor assessment., comment=For example: Prevalence of the risk factor in family members., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
All not explicitly excluded archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0016]/items[at0030], code=at0030, itemType=ELEMENT, level=3, text=Comment, description=Additional narrative about the risk factor not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0003.1], code=at0003.1, itemType=ELEMENT, level=2, 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., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Low risk [The risk of the a patient having a Covid-19 infection is assessed to be low.]
  • High risk [The risk of the a patient having a Covid-19 infection is assessed to be high.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/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=0..1, occurencesText=Optional, 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.]
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