archetype (adl_version=1.4; uid=ecd16e31-d37f-4c2a-bf18-e76fd8918a56)
	openEHR-EHR-CLUSTER.acribis_anamnese_patient_history.v0

concept
	[at0000]	-- ACRIBIS Anamnese-Patient history
language
	original_language = <[ISO_639-1::en]>
	translations = <
		["de"] = <
			language = <[ISO_639-1::de]>
			author = <
				["name"] = <"Rony Ventura">
				["organisation"] = <"UKSH">
				["email"] = <"rony.ventura@uksh.de">
			>
		>
	>
description
	original_author = <
		["name"] = <"Rony Ventura">
		["organisation"] = <"Universitätsklinikum Schleswig-Holstein">
		["email"] = <"rony.ventura@uksh.de">
		["date"] = <"2026-10-05">
	>
	details = <
		["de"] = <
			language = <[ISO_639-1::de]>
			purpose = <"">
			use = <"">
			misuse = <"">
		>
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"">
			use = <"">
			misuse = <"">
			copyright = <"© HiGHmed">
		>
	>
	lifecycle_state = <"in_development">
	other_contributors = <>
	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"] = <"HiGHmed">
		["original_namespace"] = <"org.highmed">
		["original_publisher"] = <"HiGHmed">
		["custodian_namespace"] = <"org.highmed">
		["MD5-CAM-1.0.1"] = <"9B8E1C9B6554C0DF997E222ACC2B4CEF">
		["build_uid"] = <"a0944cc9-fe7a-4237-a0c3-c428f5da310e">
		["revision"] = <"0.0.1-alpha">
	>

definition
	CLUSTER[at0000] matches {    -- ACRIBIS Anamnese-Patient history
		items cardinality matches {1..*; unordered} matches {
			ELEMENT[at0001] occurrences matches {0..1} matches {    -- Does the patient have a heart valve disease?
				value matches {
					1|[local::at0003],
					2|[local::at0004],
					3|[local::at0005]
				}
			}
			ELEMENT[at0002] occurrences matches {0..1} matches {    -- Which valve is affected?
				value matches {
					1|[local::at0006],
					2|[local::at0007],
					3|[local::at0008],
					4|[local::at0009],
					5|[local::at0010]
				}
			}
			ELEMENT[at0011] occurrences matches {0..1} matches {    -- Is the heart valve disease a stenotic disease or an insufficiency?
				value matches {
					1|[local::at0012],
					2|[local::at0013],
					3|[local::at0014],
					4|[local::at0015]
				}
			}
			ELEMENT[at0016] occurrences matches {0..1} matches {    -- How was the disease treated?
				value matches {
					1|[local::at0017],
					2|[local::at0018],
					3|[local::at0019],
					4|[local::at0020],
					5|[local::at0021]
				}
			}
			ELEMENT[at0022] occurrences matches {0..1} matches {    -- Is a congenital heart defect known in the patient (except: bicuspid aortic valve and PFO)?
				value matches {
					1|[local::at0023],
					2|[local::at0024],
					3|[local::at0025]
				}
			}
			ELEMENT[at0026] occurrences matches {0..1} matches {    -- Was a defibrillator or pacemaker implanted in the patient?
				value matches {
					1|[local::at0027],
					2|[local::at0028],
					3|[local::at0029]
				}
			}
			allow_archetype CLUSTER[at0086] occurrences matches {0..*} matches {    -- Implanted device
				include
					archetype_id/value matches {/.*/}
			}
			ELEMENT[at0037] occurrences matches {0..1} matches {    -- Does the patient has narrowing/disease of the coronary vessels (CAD)?
				value matches {
					1|[local::at0038],
					2|[local::at0039],
					3|[local::at0040]
				}
			}
			CLUSTER[at0048] occurrences matches {0..1} matches {    -- Carotid arteries
				items cardinality matches {1..*; unordered} matches {
					ELEMENT[at0041] occurrences matches {0..1} matches {    -- Are narrowings or plaque deposits (cAVD) of the carotid arteries known in the patient?
						value matches {
							1|[local::at0042],
							2|[local::at0043],
							3|[local::at0044]
						}
					}
					ELEMENT[at0047] occurrences matches {0..1} matches {    -- When was this first diagnosed?
						value matches {
							DV_DATE_TIME matches {*}
						}
					}
					ELEMENT[at0049] occurrences matches {0..1} matches {    -- Was there ever a surgery or catheter intervention on the carotid arteries because of this?
						value matches {
							1|[local::at0050],
							2|[local::at0051],
							3|[local::at0052],
							4|[local::at0053]
						}
					}
					ELEMENT[at0054] occurrences matches {0..1} matches {    -- Has the patient ever had an embolic vascular occlusion in the head/neck region (e.g. TIA/stroke/amaurosis fugax/retinal infarction)?
						value matches {
							1|[local::at0055],
							2|[local::at0056],
							3|[local::at0057]
						}
					}
					ELEMENT[at0058] occurrences matches {0..1} matches {    -- What type of vascular occlusion in the head/neck region was it?
						value matches {
							1|[local::at0059],
							2|[local::at0060],
							3|[local::at0061],
							4|[local::at0062],
							5|[local::at0063]
						}
					}
				}
			}
			ELEMENT[at0064] occurrences matches {0..1} matches {    -- Has the patient ever had an arterial vascular occlusion due to a blood clot outside the head/neck region?
				value matches {
					1|[local::at0065],
					2|[local::at0066],
					3|[local::at0067]
				}
			}
			ELEMENT[at0068] occurrences matches {0..1} matches {    -- Are calcifications of the aorta known in the patient?
				value matches {
					1|[local::at0069],
					2|[local::at0070],
					3|[local::at0071]
				}
			}
			ELEMENT[at0072] occurrences matches {0..1} matches {    -- Is atrial fibrillation known in the patient?
				value matches {
					1|[local::at0073],
					2|[local::at0074],
					3|[local::at0075]
				}
			}
			ELEMENT[at0076] occurrences matches {0..1} matches {    -- When was atrial fibrillation first diagnosed?
				value matches {
					DV_DATE_TIME matches {*}
				}
			}
			ELEMENT[at0077] occurrences matches {0..1} matches {    -- Does the patient have arterial hypertension (high blood pressure) or take medication for it?
				value matches {
					1|[local::at0078],
					2|[local::at0079],
					3|[local::at0080]
				}
			}
			ELEMENT[at0081] occurrences matches {0..1} matches {    -- Is or was an abdominal aortic aneurysm (pathological widening of the aorta) known in the patient?
				value matches {
					1|[local::at0082],
					2|[local::at0083],
					3|[local::at0084]
				}
			}
		}
	}

ontology
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"ACRIBIS Anamnese-Patient history">
					description = <"ACRIBIS Anamnese-Patient history">
				>
				["at0001"] = <
					text = <"Does the patient have a heart valve disease?">
					description = <"">
				>
				["at0002"] = <
					text = <"Which valve is affected?">
					description = <"">
				>
				["at0003"] = <
					text = <"Yes">
					description = <"">
				>
				["at0004"] = <
					text = <"No">
					description = <"">
				>
				["at0005"] = <
					text = <"Unknown">
					description = <"">
				>
				["at0006"] = <
					text = <"Mitral valve">
					description = <"">
				>
				["at0007"] = <
					text = <"Aortic valve">
					description = <"">
				>
				["at0008"] = <
					text = <"Tricuspid valve">
					description = <"">
				>
				["at0009"] = <
					text = <"Pulmonary valve">
					description = <"">
				>
				["at0010"] = <
					text = <"Unknown">
					description = <"">
				>
				["at0011"] = <
					text = <"Is the heart valve disease a stenotic disease or an insufficiency?">
					description = <"">
				>
				["at0012"] = <
					text = <"Stenosis">
					description = <"">
				>
				["at0013"] = <
					text = <"Insufficiency">
					description = <"">
				>
				["at0014"] = <
					text = <"Stenosis and insufficiency (combined valve defect)">
					description = <"">
				>
				["at0015"] = <
					text = <"Unknown">
					description = <"">
				>
				["at0016"] = <
					text = <"How was the disease treated?">
					description = <"">
				>
				["at0017"] = <
					text = <"Surgical valve replacement">
					description = <"">
				>
				["at0018"] = <
					text = <"Surgical valve reconstruction">
					description = <"">
				>
				["at0019"] = <
					text = <"Interventional valve therapy">
					description = <"">
				>
				["at0020"] = <
					text = <"Not yet treated">
					description = <"">
				>
				["at0021"] = <
					text = <"Unknown">
					description = <"">
				>
				["at0022"] = <
					text = <"Is a congenital heart defect known in the patient (except: bicuspid aortic valve and PFO)?">
					description = <"">
				>
				["at0023"] = <
					text = <"Yes">
					description = <"">
				>
				["at0024"] = <
					text = <"No">
					description = <"">
				>
				["at0025"] = <
					text = <"Unknown">
					description = <"">
				>
				["at0026"] = <
					text = <"Was a defibrillator or pacemaker implanted in the patient?">
					description = <"">
				>
				["at0027"] = <
					text = <"Yes">
					description = <"">
				>
				["at0028"] = <
					text = <"No">
					description = <"">
				>
				["at0029"] = <
					text = <"Unknown">
					description = <"">
				>
				["at0037"] = <
					text = <"Does the patient has narrowing/disease of the coronary vessels (CAD)?">
					description = <"">
				>
				["at0038"] = <
					text = <"Yes">
					description = <"">
				>
				["at0039"] = <
					text = <"No">
					description = <"">
				>
				["at0040"] = <
					text = <"Unknown">
					description = <"">
				>
				["at0041"] = <
					text = <"Are narrowings or plaque deposits (cAVD) of the carotid arteries known in the patient?">
					description = <"">
				>
				["at0042"] = <
					text = <"Yes">
					description = <"">
				>
				["at0043"] = <
					text = <"No">
					description = <"">
				>
				["at0044"] = <
					text = <"Unknown">
					description = <"">
				>
				["at0047"] = <
					text = <"When was this first diagnosed?">
					description = <"">
				>
				["at0048"] = <
					text = <"Carotid arteries">
					description = <"">
				>
				["at0049"] = <
					text = <"Was there ever a surgery or catheter intervention on the carotid arteries because of this?">
					description = <"">
				>
				["at0050"] = <
					text = <"Surgery">
					description = <"">
				>
				["at0051"] = <
					text = <"Catheter-based intervention">
					description = <"">
				>
				["at0052"] = <
					text = <"No">
					description = <"">
				>
				["at0053"] = <
					text = <"Unknown">
					description = <"">
				>
				["at0054"] = <
					text = <"Has the patient ever had an embolic vascular occlusion in the head/neck region (e.g. TIA/stroke/amaurosis fugax/retinal infarction)?">
					description = <"">
				>
				["at0055"] = <
					text = <"Yes">
					description = <"">
				>
				["at0056"] = <
					text = <"No">
					description = <"">
				>
				["at0057"] = <
					text = <"Unknown">
					description = <"">
				>
				["at0058"] = <
					text = <"What type of vascular occlusion in the head/neck region was it?">
					description = <"">
				>
				["at0059"] = <
					text = <"TIA">
					description = <"">
				>
				["at0060"] = <
					text = <"Stroke">
					description = <"">
				>
				["at0061"] = <
					text = <"Amaurosis fugax">
					description = <"">
				>
				["at0062"] = <
					text = <"Retinal infarction">
					description = <"">
				>
				["at0063"] = <
					text = <"Unknown">
					description = <"">
				>
				["at0064"] = <
					text = <"Has the patient ever had an arterial vascular occlusion due to a blood clot outside the head/neck region?">
					description = <"">
				>
				["at0065"] = <
					text = <"Yes">
					description = <"">
				>
				["at0066"] = <
					text = <"No">
					description = <"">
				>
				["at0067"] = <
					text = <"Unknown">
					description = <"">
				>
				["at0068"] = <
					text = <"Are calcifications of the aorta known in the patient?">
					description = <"">
				>
				["at0069"] = <
					text = <"Yes">
					description = <"">
				>
				["at0070"] = <
					text = <"No">
					description = <"">
				>
				["at0071"] = <
					text = <"Unknown">
					description = <"">
				>
				["at0072"] = <
					text = <"Is atrial fibrillation known in the patient?">
					description = <"">
				>
				["at0073"] = <
					text = <"Yes">
					description = <"">
				>
				["at0074"] = <
					text = <"No">
					description = <"">
				>
				["at0075"] = <
					text = <"Unknown">
					description = <"">
				>
				["at0076"] = <
					text = <"When was atrial fibrillation first diagnosed?">
					description = <"">
				>
				["at0077"] = <
					text = <"Does the patient have arterial hypertension (high blood pressure) or take medication for it?">
					description = <"">
				>
				["at0078"] = <
					text = <"Yes">
					description = <"">
				>
				["at0079"] = <
					text = <"No">
					description = <"">
				>
				["at0080"] = <
					text = <"Unknown">
					description = <"">
				>
				["at0081"] = <
					text = <"Is or was an abdominal aortic aneurysm (pathological widening of the aorta) known in the patient?">
					description = <"">
				>
				["at0082"] = <
					text = <"Yes">
					description = <"">
				>
				["at0083"] = <
					text = <"No">
					description = <"">
				>
				["at0084"] = <
					text = <"Unknown">
					description = <"">
				>
				["at0086"] = <
					text = <"Implanted device">
					description = <"">
				>
			>
		>
		["de"] = <
			items = <
				["at0000"] = <
					text = <"ACRIBIS Anamnese-Anamnese">
					description = <"ACRIBIS Anamnese-Anamnese">
				>
				["at0001"] = <
					text = <"Hat der Patient eine Herzklappenerkrankung?">
					description = <"">
				>
				["at0002"] = <
					text = <"Welche Herzklappe ist betroffen?">
					description = <"">
				>
				["at0003"] = <
					text = <"Ja">
					description = <"">
				>
				["at0004"] = <
					text = <"Nein">
					description = <"">
				>
				["at0005"] = <
					text = <"Unbekannt">
					description = <"">
				>
				["at0006"] = <
					text = <"Mitralklappe">
					description = <"">
				>
				["at0007"] = <
					text = <"Aortenklappe">
					description = <"">
				>
				["at0008"] = <
					text = <"Trikuspidalklappe">
					description = <"">
				>
				["at0009"] = <
					text = <"Pulmonalklappe">
					description = <"">
				>
				["at0010"] = <
					text = <"Unbekannt">
					description = <"">
				>
				["at0011"] = <
					text = <"Handelt es sich bei der Herzklappenerkrankung um eine Stenose oder eine Insuffizienz?">
					description = <"">
				>
				["at0012"] = <
					text = <"Stenose">
					description = <"">
				>
				["at0013"] = <
					text = <"Insuffizienz">
					description = <"">
				>
				["at0014"] = <
					text = <"Stenose und Insuffizienz (kombiniertes Vitium)">
					description = <"">
				>
				["at0015"] = <
					text = <"Unbekannt">
					description = <"">
				>
				["at0016"] = <
					text = <"Wie wurde die Erkrankung behandelt?">
					description = <"">
				>
				["at0017"] = <
					text = <"operativer Klappenersatz">
					description = <"">
				>
				["at0018"] = <
					text = <"op. Klappenrekonstruktion">
					description = <"">
				>
				["at0019"] = <
					text = <"Interventionelle Klappentherapie">
					description = <"">
				>
				["at0020"] = <
					text = <"Bislang noch unbehandelt">
					description = <"">
				>
				["at0021"] = <
					text = <"Unbekannt">
					description = <"">
				>
				["at0022"] = <
					text = <"Ist bei dem Patienten ein angeborener Herzfehler bekannt (ausgenommen: bikuspide Aortenklappe und PFO)?">
					description = <"">
				>
				["at0023"] = <
					text = <"Ja">
					description = <"">
				>
				["at0024"] = <
					text = <"Nein">
					description = <"">
				>
				["at0025"] = <
					text = <"Unbekannt">
					description = <"">
				>
				["at0026"] = <
					text = <"Wurde ein Defibrillator oder Schrittmacher implantiert?">
					description = <"">
				>
				["at0027"] = <
					text = <"Ja">
					description = <"">
				>
				["at0028"] = <
					text = <"Nein">
					description = <"">
				>
				["at0029"] = <
					text = <"Unbekannt">
					description = <"">
				>
				["at0037"] = <
					text = <"Hat der Patient eine Verengung oder Erkrankung der Herzkranzgefäße (KHK)?">
					description = <"">
				>
				["at0038"] = <
					text = <"Ja">
					description = <"">
				>
				["at0039"] = <
					text = <"Nein">
					description = <"">
				>
				["at0040"] = <
					text = <"Unbekannt">
					description = <"">
				>
				["at0041"] = <
					text = <"Sind bei dem Patienten Verengungen oder Plaqueablagerungen (cAVD) der Halsschlagadern bekannt?">
					description = <"">
				>
				["at0042"] = <
					text = <"Ja">
					description = <"">
				>
				["at0043"] = <
					text = <"Nein">
					description = <"">
				>
				["at0044"] = <
					text = <"Unbekannt">
					description = <"">
				>
				["at0047"] = <
					text = <"Wann wurde dies das erste Mal diagnostiziert?">
					description = <"">
				>
				["at0048"] = <
					text = <"Karotiden">
					description = <"">
				>
				["at0049"] = <
					text = <"Fand deswegen schon einmal eine OP oder eine Katheterintervention an den Halsschlagadern statt?">
					description = <"">
				>
				["at0050"] = <
					text = <"Operation">
					description = <"">
				>
				["at0051"] = <
					text = <"katheterinterventioneller Eingriff">
					description = <"">
				>
				["at0052"] = <
					text = <"Nein">
					description = <"">
				>
				["at0053"] = <
					text = <"Unbekannt">
					description = <"">
				>
				["at0054"] = <
					text = <"Hatte der Patient bereits einen embolischen Gefäßverschluss im Kopf-/Halsbereich (z. B. TIA/Schlaganfall/Amaurosis fugax/Netzhautinfarkt)?">
					description = <"">
				>
				["at0055"] = <
					text = <"Ja">
					description = <"">
				>
				["at0056"] = <
					text = <"Nein">
					description = <"">
				>
				["at0057"] = <
					text = <"Unbekannt">
					description = <"">
				>
				["at0058"] = <
					text = <"Um welche Art eines Gefäßverschlusses im Kopf-Halsbereich handelte es sich?">
					description = <"">
				>
				["at0059"] = <
					text = <"TIA">
					description = <"">
				>
				["at0060"] = <
					text = <"Stroke">
					description = <"">
				>
				["at0061"] = <
					text = <"Amaurosis fugax">
					description = <"">
				>
				["at0062"] = <
					text = <"Retinainfarkt">
					description = <"">
				>
				["at0063"] = <
					text = <"Unbekannt">
					description = <"">
				>
				["at0064"] = <
					text = <"Hatte der Patient schon einmal einen arteriellen Gefäßverschluss durch ein Blutgerinnsel außerhalb des Kopf-Hals-Bereichs?">
					description = <"">
				>
				["at0065"] = <
					text = <"Ja">
					description = <"">
				>
				["at0066"] = <
					text = <"Nein">
					description = <"">
				>
				["at0067"] = <
					text = <"Unbekannt">
					description = <"">
				>
				["at0068"] = <
					text = <"Sind beim Patienten Verkalkungen der Hauptschlagader bekannt?">
					description = <"">
				>
				["at0069"] = <
					text = <"Ja">
					description = <"">
				>
				["at0070"] = <
					text = <"Nein">
					description = <"">
				>
				["at0071"] = <
					text = <"Unbekannt">
					description = <"">
				>
				["at0072"] = <
					text = <"Ist beim Patienten ein Vorhofflimmern bekannt?">
					description = <"">
				>
				["at0073"] = <
					text = <"Ja">
					description = <"">
				>
				["at0074"] = <
					text = <"Nein">
					description = <"">
				>
				["at0075"] = <
					text = <"Unbekannt">
					description = <"">
				>
				["at0076"] = <
					text = <"Wann wurde das Vorhofflimmern erstmals diagnostiziert?">
					description = <"">
				>
				["at0077"] = <
					text = <"Liegt beim Patienten eine arterielle Hypertonie (Bluthochdruck) vor oder werden deswegen Medikamente eingenommen?">
					description = <"">
				>
				["at0078"] = <
					text = <"Ja">
					description = <"">
				>
				["at0079"] = <
					text = <"Nein">
					description = <"">
				>
				["at0080"] = <
					text = <"Unbekannt">
					description = <"">
				>
				["at0081"] = <
					text = <"Ist oder war beim Patienten ein Bauchaortenaneurysma (krankhafte Erweiterung der Aorta) bekannt?">
					description = <"">
				>
				["at0082"] = <
					text = <"Ja">
					description = <"">
				>
				["at0083"] = <
					text = <"Nein">
					description = <"">
				>
				["at0084"] = <
					text = <"Unbekannt">
					description = <"">
				>
				["at0086"] = <
					text = <"Implantiertes Gerät">
					description = <"">
				>
			>
		>
	>