| TEMPLATE ID | Fragebogen 3FF22 |
|---|---|
| Concept | Fragebogen 3FF22 |
| Description | Zur Repräsentation der NormalTrack Studie: Circular RNAs regulating the SARS-CoV-2 infection in the cardiovascular system für das Covid-19 Forschungsnetzwerk Niedersachsen (COFONI). |
| Use | Zur Repräsentation der NormalTrack Studie: Circular RNAs regulating the SARS-CoV-2 infection in the cardiovascular system. |
| Misuse | Nicht anwendbar für andere klinische Studien außerhalb COFONI. |
| Purpose | Zur Repräsentation der NormalTrack Studie: Circular RNAs regulating the SARS-CoV-2 infection in the cardiovascular system für das Covid-19 Forschungsnetzwerk Niedersachsen (COFONI). |
| References | |
| Authors | date: 2023-04-17; name: Kristina Scheuermann; organisation: Peter L. Reichertz Institut für Medizinische Informatik der TU Braunschweig und der Medizinischen Hochschule Hannover; email: scheuermann.kristina@mh-hannover.de |
| Other Details Language | date: 2023-04-17; name: Kristina Scheuermann; organisation: Peter L. Reichertz Institut für Medizinische Informatik der TU Braunschweig und der Medizinischen Hochschule Hannover; email: scheuermann.kristina@mh-hannover.de |
| Other Details (Language Independent) |
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| Keywords | COFONI, Covid19, Covid, Infektion, Kardiovaskuläres System, RNA |
| Language used | en |
| Citeable Identifier | 1246.169.3342 |
| Root archetype id | openEHR-EHR-COMPOSITION.report.v1 |
| Fragebogen 3FF22 | Fragebogen 3FF22: Document to communicate information to others, commonly in response to a request from another party. |
| Other Context | |
| Study participation | Study participation: Details about participation in a clinical trial, observational study, registry study, diagnostic study, therapeutic study, or other medical research project in the role of a study patient or subject. |
| Study name | Study name: Designation of the study or clinical trial in which the patient is participating. The title or study code of the study, e.g. AIO-HEP-0116. Terminology: local_terms
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| Gruppe | Gruppe: The name of the arm in the study the subject is expected to follow as part of this study. Terminology: local_terms
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| Details of death | Details of death: Information about the death of a person that matches higher-level data elements for registration e.g. Mortality Register. |
| Date of death | Date of death: The date on which the person died. |
| Tod? | Tod?: Is death due to the primary diagnosis? |
| Timing - non-daily | Timing - non-daily: Structured information about the intended timing pattern for a therapeutic or diagnostic activity occurring over days, weeks, months or years. |
| Specific event | Specific event: The activity should take place in relation to a specific named event. |
| Zeitspanne seit Aufnahme bis zum Tod | Zeitspanne seit Aufnahme bis zum Tod: The period of time before or after the named event when the activity should take place. Negative durations can be used to signify that the activity should be taken before a known event. For example: '3 days after onset of menstruation = menstrual onset + 3 days', '2 weeks prior to admission= admission -2 weeks'. Units:
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| Demographische Daten | Demographische Daten: A generic section header which should be renamed in a template to suit a specific clinical context. |
| Gender | Gender: Details about the gender of an individual. |
| Data | |
| Sex assigned at birth | Sex assigned at birth: The sex of an individual determined by anatomical characteristics observed and registered at birth. For example: 'Male', 'Female', 'Intersex'. Coding with a terminology is recommended, where possible. Use the element 'Comment' or the SLOT 'Details' if needed to register more specific details of the individuals gender. Terminology: SNOMED Clinical Terms
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| Age assertion | Age assertion: A statement about the age of an individual at a point in time. |
| Data | |
| Point in time event | Point in time event: Default, unspecified point in time event which may be explicitly defined in a template or at run-time. |
| Data | |
| Chronological age | Chronological age: The age of an individual at the event time, calculated from date of birth. In most use cases the DV_DURATION data type is used to record the Chronological age. The DV_INTERVAL_DURATION is used for recording a structured age interval in cases where there's uncertainty about the individual's exact age. The DV_QUANTITY data type is used for recording a decimal age in years or mean Julian years (365.25 days). The DV_TEXT data type is used for recording a textual representation of the individual's age, or age category often found in questionnaires. For example: 'P3M2W', '0,2884615384615385 a_j', '3 months 2 weeks' or '31-40 years' or 'Teenager'. 0..200; 0..200; 0..200; 0..200 Units:
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| Anamnese | Anamnese: A generic section header which should be renamed in a template to suit a specific clinical context. |
| Body mass index | Body mass index: Calculated measurement which compares a person's weight and height. Body Mass Index is a calculated ratio describing how an individual's body weight relates to the weight that is regarded as normal, or desirable, for the individual's height. |
| Data | |
| Any event | Any event: Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time. |
| Data | |
| Body mass index | Body mass index: Index describing ratio of weight to height. 0..1000; 0..1000 Units:
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| SOFA score | SOFA score: A scoring system to grade and follow the development of organ dysfunction in six vital organ systems. Previously known as "Sepsis related Organ Failure Assessment". |
| Data | |
| Any event | Any event: Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time. |
| Data | |
| Total score | Total score: The total sum of each component parameter for the SOFA score. 0..24 |
| Vitalparameter | Vitalparameter: A generic section header which should be renamed in a template to suit a specific clinical context. |
| Blutwerte | Blutwerte: The result, including findings and the laboratory's interpretation, of an investigation performed on specimens collected from an individual or related to that individual. |
| Data | |
| Any event | Any event: Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time. |
| Data | |
| Test name | Test name: Name of the laboratory investigation performed on the specimen(s). A test result may be for a single analyte, or a group of items, including panel tests. It is strongly recommended that 'Test name' be coded with a terminology, for example LOINC or SNOMED CT. For example: 'Glucose', 'Urea and Electrolytes', 'Swab', 'Cortisol (am)', 'Potassium in perspiration' or 'Melanoma histopathology'. The name may sometimes include specimen type and patient state, for example 'Fasting blood glucose' or include other information, as 'Potassium (PNA blood gas)'. Terminology: LOINC
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| Laboratory analyte result | Laboratory analyte result: The result of a laboratory test for a single analyte value. |
| Analyte result | Analyte result: The value of the analyte result. For example '7.3 mmol/l', 'Raised'. The 'Any' data type will need to be constrained to an appropriate data type in a specialisation, a template or at run-time to reflect the actual analyte result. The Quantity data type has reference model attributes that include flags for normal/abnormal, reference ranges and approximations - see https://specifications.openehr.org/releases/RM/latest/data_types.html#_dv_quantity_class for more details. Optional[{fhir_mapping=Observation.value[x], hl7v2_mapping=OBX.2, OBX.5, OBX.6, OBX.7, OBX.8}] Units:
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| Kardiovaskuläre Untersuchung | Kardiovaskuläre Untersuchung: Details about a single identified health condition, injury, disability or any other issue which impacts on the physical, mental and/or social well-being of an individual. Clear delineation between the scope of a problem versus a diagnosis is not easy to achieve in practice. For the purposes of clinical documentation with this archetype, problem and diagnosis are regarded as a continuum, with increasing levels of detail and supportive evidence usually providing weight towards the label of 'diagnosis'. |
| Data | |
| Problem/Diagnosis name | Problem/Diagnosis name: Identification of the problem or diagnosis, by name. Coding of the name of the problem or diagnosis with a terminology is preferred, where possible. Terminology: SNOMED Clinical Terms
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| Clinical description | Clinical description: Narrative description about the problem or diagnosis. Use to provide background and context, including evolution, episodes or exacerbations, progress and any other relevant details, about the problem or diagnosis. |
| Hospitalisierung | Hospitalisierung: A generic section header which should be renamed in a template to suit a specific clinical context. |
| Procedure | Procedure: A clinical activity carried out for screening, investigative, diagnostic, curative, therapeutic, evaluative or palliative purposes. |
| Description | |
| Procedure name | Procedure name: Identification of the procedure by name. Coding of the specific procedure with a terminology is preferred, where possible. Terminology: SNOMED Clinical Terms
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| Ventilator settings/findings | Ventilator settings/findings: Details of ventilator settings and reported findings |
| Type of ventilation | Type of ventilation: Type of ventilation of patient
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| Ventilation mode | Ventilation mode: The mode of mechanical ventilation used.
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| (Pressure) | (Pressure): A ventilator pressure setting. 0..200; >=0 Units:
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| (Volume) | (Volume): A ventilator volume setting. 0..2000; 0..200 Units:
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| Total duration | Total duration: The total amount of time taken to complete the procedure, which may include time spent during the active phase of the procedure plus time during which the procedure was suspended. Only for use in association with the 'Procedure completed' pathway steps. >=PT0S Day |
| Symptom/sign screening questionnaire | Symptom/sign screening questionnaire: Series of questions and associated answers used to screen for symptoms or signs. The answers may be self-reported. |
| Data | |
| Any event | Any event: Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time. |
| Data | |
| Specific symptom/sign | Specific symptom/sign: Details about a specific symptom or sign or grouping of symptoms or signs relatevant for the screening purpose. |
| Symptom/sign name | Symptom/sign name: Identification of a specific symptom or sign or grouping of symptoms or signs, by name. Coding of the 'Symptom/sign name' with a terminology is preferred, where possible. |
| Tage von Symptombeginn bis Hospitalisierung | Tage von Symptombeginn bis Hospitalisierung: Indication of timing related to the specific symptom or sign. The 'Timing' data element has deliberately been loosely modelled to support the myriad of ways that it can be used in questionnaires to capture when the specific symptom or sign occured. The specific and intended semantics can be further clarified in a template. For example: the actual date and/or time; the start and stop time for when the specific symptom or sign; the interval of time during which the specific symptom or sign occured; the duration of the specific symptom or sign; the age of the individual at the time of the specific symptom or sign occured; or the duration of time since it occurred. A partial date is valid, using the DV_DATE_TIME data type, to record only a year. |
| Discharge summary | Discharge summary: Used for discharged patient only. |
| Data | |
| Discharge status | Discharge status: Discharge status. Terminology: local_terms
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| Lenght of stay | Lenght of stay: Lenght of stay on hospital Units:
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