ARCHETYPE Problem List (openEHR-EHR-SECTION.problem_list.v0)

ARCHETYPE IDopenEHR-EHR-SECTION.problem_list.v0
ConceptProblem List
DescriptionSuggested design pattern for including a Problem List in a template.
UseThis list can be utilised as a source of up-to-date problem list data for exchange or as the basis for decision support. This list can be comprised of three types of archetype: - statements about the positive presence of problems, diagnoses or previous procedures are recorded using the EVALUATION.problem_diagnosis and/or ACTION.procedure archetypes; OR - a statement about the positive exclusion of medication use can be recorded using the specific EVALUATION.exclusion-problem_diagnosis or EVALUATION.exclusion-procedure archetypes - for example: "No significant problems or diagnoses" or No history of significant operations or procedures"; OR - a statement about no information being available - neither a positive presence of a problem, diagnosis or procedure performed nor a positive exclusion - can be recorded using the EVALUATION.absence archetype. In order for this list to be accurate and safe to use as the basis for decision support activities and for exchange, this Problem List should ideally be curated by a clinician responsible for the health record, rather than managed automatically by the clinical system through business rules alone.
PurposeTo demonstrate a design pattern for representation of a Problem List suitable for use with both episodic and longitudinal recording of problems.
ReferencesDerived from: <Add reference to original resource here>
Derived from: Problem List (composition), draft archetype, National eHealth Transition Authority [Internet]. NEHTA Clinical Knowledge Manager. Authored: 19 Feb 2013. Available at: http://dcm.nehta.org.au/ckm/#showArchetype_1013.1.1235 (accessed Feb 27, 2012).
Copyright© openEHR Foundation, HiGHmed
AuthorsAuthor name: Heather Leslie
Organisation: Ocean Informatics
Email: heather.leslie@oceaninformatics.com
Date originally authored: 2010-07-03
Other Details LanguageAuthor name: Heather Leslie
Organisation: Ocean Informatics
Email: heather.leslie@oceaninformatics.com
Date originally authored: 2010-07-03
OtherDetails Language Independent{custodian_organisation=HiGHmed, references=Derived from: Derived from: Problem List (composition), draft archetype, National eHealth Transition Authority [Internet]. NEHTA Clinical Knowledge Manager. Authored: 19 Feb 2013. Available at: http://dcm.nehta.org.au/ckm/#showArchetype_1013.1.1235 (accessed Feb 27, 2012)., original_namespace=org.highmed, original_publisher=HiGHmed, custodian_namespace=org.highmed, MD5-CAM-1.0.1=EA7C3BB3920E871925B9DBA1468AA645, build_uid=faaf9949-f703-457c-a44c-9f96ecc80cb6, revision=0.0.1-alpha}
Keywordsproblem, diagnosis, exclusion, absence, known, list
Lifecyclein_development
UID4fb2ceac-7dd6-4aa9-ac46-c4a302242f86
Language useden
Citeable Identifier1246.145.6
Revision Number0.0.1-alpha
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Suggested design pattern for including a Problem List in a template., archetypeConceptComment=null, otherContributors=Ian McNicoll, Ocean Informatics
Heath Frankel, Ocean Informatics, originalLanguage=en, translators=German: Caroline Thoms, UMG, Caroline.Thoms@med.uni-goettingen.de
, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={relationships=[], identities=[], provider=[], content=[], events=[], data=[], credentials=[], capabilities=[], target=[], items=[ResourceSimplifiedHierarchyItem [path=/items[at0001], code=at0001, itemType=SLOT, level=1, text=Problems or Diagnoses, description=Details about identified problems or diagnoses., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=Include:
openEHR-EHR-EVALUATION.problem_diagnosis.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0002], code=at0002, itemType=SLOT, level=1, text=Procedures, description=Details about identified procedures that have been performed., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ACTION, bindings=null, values=Include:
openEHR-EHR-ACTION.procedure.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0003], code=at0003, itemType=SLOT, level=1, text=Exclusion Statements, description=Positive statement about the known exclusion of known problems or diagnoses and procedures performed., comment=For example: "No significant problems or diagnoses" or No history of significant operations or procedures"., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=Include:
openEHR-EHR-EVALUATION.exclusion-problem_diagnosis.v1 and specialisations Or
openEHR-EHR-EVALUATION.exclusion-procedure.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0004], code=at0004, itemType=SLOT, level=1, text=Absent Information, description=Positive statement that no information is available about identification of problems or diagnoses, nor procedures performed., comment=For example: "No information available concerning procedures"., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=Include:
openEHR-EHR-EVALUATION.absence.v1 and specialisations, extendedValues=null]], protocol=[], ism_transition=[], contacts=[], activities=[], context=[], other_participations=[], state=[], details=[], description=[], source=[]}, topLevelItems={items=ResourceSimplifiedHierarchyItem [path=ROOT_/items[at0001], code=at0001, itemType=EVALUATION, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=items, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/items[at0001], code=at0001, itemType=SLOT, level=1, text=Problems or Diagnoses, description=Details about identified problems or diagnoses., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=Include:
openEHR-EHR-EVALUATION.problem_diagnosis.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0002], code=at0002, itemType=SLOT, level=1, text=Procedures, description=Details about identified procedures that have been performed., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ACTION, bindings=null, values=Include:
openEHR-EHR-ACTION.procedure.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0003], code=at0003, itemType=SLOT, level=1, text=Exclusion Statements, description=Positive statement about the known exclusion of known problems or diagnoses and procedures performed., comment=For example: "No significant problems or diagnoses" or No history of significant operations or procedures"., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=Include:
openEHR-EHR-EVALUATION.exclusion-problem_diagnosis.v1 and specialisations Or
openEHR-EHR-EVALUATION.exclusion-procedure.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0004], code=at0004, itemType=SLOT, level=1, text=Absent Information, description=Positive statement that no information is available about identification of problems or diagnoses, nor procedures performed., comment=For example: "No information available concerning procedures"., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=Include:
openEHR-EHR-EVALUATION.absence.v1 and specialisations, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]