ARCHETYPE Infectious disease investigation classification (openEHR-EHR-EVALUATION.infectious_disease_investigation_classification.v0)

ARCHETYPE IDopenEHR-EHR-EVALUATION.infectious_disease_investigation_classification.v0
ConceptInfectious disease investigation classification
DescriptionClassification for an identified infectious disease as part of a disease surveillance investigation.
UseUse to record the disease for an identified infectious disease as part of a disease surveillance investigation, most commonly the final determination at the completion of a case investigation but may also record initial classification as a suspected infection. Use a separate instance of this archetype to record the conclusion for each suspected 'Index disease'. For example in a fever & rash investigation, considering Measles and Rubella as the potential causes, use one instance of this archetype to record the conclusion, rationale, evidence etc related to Measles, and another to carry the information related to Rubella.
PurposeTo record the disease classification for an identified infectious disease as part of a disease surveillance investigation.
References
Copyright© openEHR Foundation
AuthorsAuthor name: Heather Leslie
Organisation: Atomica Informatics
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2022-06-25
Other Details LanguageAuthor name: Heather Leslie
Organisation: Atomica Informatics
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2022-06-25
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: E77CF6A070E552E67528364D2CC18500
  • Build Uid: eeee9931-c5ce-47bc-8970-98a1610e8370
  • Revision: 0.0.1-alpha
Keywords
Lifecyclein_development
UID0ab9c19f-6a9e-4d30-982a-ce280ad447b9
Language useden
Citeable Identifier1246.145.2855
Revision Number0.0.1-alpha
protocol
ExtensionExtension: Additional information required to extend the model with local content or to align with other reference models or formalisms.
For example: local information requirements; or additional metadata to align with FHIR.
Include:
All not explicitly excluded archetypes
Last updatedLast updated: The date when this infectious disease investigation classification was last updated.
data
Index diseaseIndex disease: The name of the infectious disease under investigation.
This data element may be redundant if the index disease has been identified elsewhere within a template.
Initial classificationInitial classification: Classification of the likelihood of the 'Index disease' as causal at the initiation of a case investigation.
Not to be used to record the 'Final classification' after completion of a case investigation.
Choice of:
  •  Coded Text
    • Suspected [A case is 'Suspected' when common, relevant symptoms and/or signs are exhibited.]
    • Probable [A case is 'Probable' when common, relevant symptoms and/or signs are exhibited and there is an epidemiological link.]
    • Not suspected [A case is 'Not suspected' if the clinical or laboratory findings do not meet the criteria to suspect disease.]
  •  Text
Final classificationFinal classification: Classification of the likelihood of the 'Index disease' as causal after completion of a case investigation.
Not to be used to record the 'Initial classification' at the initiation of a case investigation.
Choice of:
  •  Coded Text
    • Pending [A case is 'Pending' at the completion of an adequate investigation when it is not possible to confirm or discard due to inadequate information, and further information is anticipated. It is usually a temporary classification.]
    • Probable [A case is 'Probable' at the completion of an adequate investigation when clinical evidence criteria are met and/or an epidemiological link has been identified, with laboratory test results suggesting causality rather than being conclusive.]
    • Laboratory confirmed [A case is 'Laboratory confirmed' at the completion of an adequate investigation when positive laboratory test results confirm the clinical evidence and/or epidemiological link.]
    • Clinically confirmed [A case is 'Clinically confirmed' at the completion of an adequate investigation on the basis of clinical evidence alone.]
    • Discarded [A case is 'Discarded' or 'Excluded' at the completion of an adequate investigation due to negative laboratory test results that exclude causality.]
    • Inconclusive [A case is 'Inconclusive' at the completion of an adequate investigation when it is not possible to confirm or discard due to inadequate information, and no further information is anticipated. It is not a temporary classification.]
  •  Text
Reason for classificationReason for classification: The broad category of the reason for the classification.
For example: lost to follow-up, child of an infected mother.
Reason descriptionReason description: Narrative description about the reason for the classification.
For example: description of clinical findings and/or conclusive laboratory test results; or alternate diagnosis made.
Epidemiological linkEpidemiological link: Choice of:
  •  Text
  •  Coded Text
    • Animal to human transmission
    • Exposure to a common source
    • Exposure to contaminated food/drinking water
    • Environmental exposure
    • Laboratory exposure
    • Human to human transmission
Aetiology categoryAetiology category: The category for the cause of infection.
For example: imported, import-related, endemic, vaccine-associated, congenital or unknown.
Choice of:
  •  Text
  •  Coded Text
    • Imported case [Exposure occurred outside of the country.]
    • Import-related case [Exposure occurred locally, but is directly associated to an imported case.]
    • Endemic case [Exposure occurred locally, as part of a chain of endemic transmission.]
    • Vaccine-associated case [Exposure occurred as an adverse event following exposure to a vaccine.]
    • Congenital case [Exposure occurred during pregnancy.]
    • Unknown [The exposure event has not been identified.]
Aetiology descriptionAetiology description: Narrative description about the cause of infection.
Source countrySource country: Country identified as the (likely or probable) source for an imported or import-related case.
Endemic source categoryEndemic source category: The category for the source of an endemic case.
For example: household contact, community, or unknown.
Endemic source descriptionEndemic source description: Narrative description about the source of an endemic case.
Contribution to patient deathContribution to patient death: Choice of:
  •  Text
  •  Coded Text
    • Related [The index disease was directly or indirectly related to the death of the infected individual.]
    • Unrelated [The index disease was not related to the death of the infected individual.]
    • Unknown [It is unknown if the index disease is related to the death of the individual or not.]
Additional detailsAdditional details: Additional structured details about the classification.
For example: details about the clinical evidenct confirming or excluding this disease as the cause of the infection
Include:
openEHR-EHR-CLUSTER.drug_resistance_profile.v0 and specialisations or
openEHR-EHR-CLUSTER.clinical_evidence.v1
CommentComment: Additional narrative about the classification, not captured in other fields.
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