| TEMPLATE ID | Risk- Influencing factors cancer |
|---|---|
| Concept | Risk- Influencing factors cancer |
| Description | Not Specified |
| Purpose | Not Specified |
| References | |
| Authors | date: 2020-10-13; name: Weronika Gujo |
| Other Details Language | date: 2020-10-13; name: Weronika Gujo |
| Other Details (Language Independent) |
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| Language used | en |
| Citeable Identifier | 1246.169.3418 |
| Root archetype id | openEHR-EHR-COMPOSITION.lifestyle_factors.v0 |
| Risk factors influencing cancer | Risk factors influencing cancer: A persistent and evolving summary record of information about lifestyle risk factors that may influence health outcomes, clinical decision-making and provision of care. |
| Other Context | |
| Case identification | Case identification: To record case identification details for public health purposes. |
| Case identifier | Case identifier: The identifier of this case. |
| Absence of information | Absence of information: Statement that specified health information is not available for inclusion in the health record or extract at the time of recording. |
| Data | |
| Absence statement | Absence statement: Positive statement that no information is available. For example: "No information available about adverse reactions"; No information available about problems or diagnoses"; "No information available about previous procedures performed"; or "No information available about medications used". |
| Reason for absence | Reason for absence: Description of the reason why there is no information available. For example: patient is unconscious or refuses to provide information. Coding the reason with a terminology is desirable, if possible. |
| Risk factors | Risk factors: Assessment of the potential and likelihood of future adverse health effects as determined by identified risk factors. |
| Data | |
| Health risk | Health risk: Identification of the potential future disease, condition or health issue for which the risk is being assessed, by name. Coding of 'Health risk' with a terminology is preferred, where possible. Free text should be used only if there is no appropriate terminology available. For example: risk of cardiovascular disease, with risk factors of hypertension and hypercholesterolaemia.
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| Risk factors | Risk factors: Details about each possible risk factor. |
| Risk and influencing factor | Risk and influencing factor: Identification of the risk factor, by name. 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.
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| Presence | Presence: Presence of the risk factor.
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| Description | Description: Narrative description about the risk factor. |
| Food and nutrition summary | Food and nutrition summary: Summary of the food and nutritional situation for an individual. |
| Data | |
| Description | Description: Narrative description about the individual's diet and eating patterns.
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| Food security description | Food security description: Narrative description about the individual's ability to access appropriate food. |
| Form der Ernährung | Form der Ernährung: A description of an individual's dietary preference. For example: omnivore; vegetarian or vegan. Coding with a terminology is desirable, where possible.
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| Comment | Comment: Comment about the individual's nutrition. |
| Alcohol consumption summary | Alcohol consumption summary: Summary or persistent information about the typical alcohol consumption of an individual. |
| Data | |
| Overall description | Overall description: Narrative summary about the individual's overall alcohol consumption pattern and history. Use this data element to record a narrative description of alcohol drinking habits for this individual or to incorporate unstructured alcohol drinking information from existing or legacy clinical systems into an archetyped format. |
| Per episode | Per episode: Details about a discrete period of time with a consistent pattern of typical consumption. |
| Episode start date | Episode start date: Date when this episode commenced. Can be a partial date, for example, only a year. |
| Episode end date | Episode end date: Date when this episode ceased. Can be a partial date, for example, only a year. This data field will be empty if the episode is current and ongoing. |
| Per type | Per type: Details about consumption of a specified type of alcohol. |
| Type | Type: The name of the specific type or grouping of alcohol. Use of the coded text option is preferrable when possible. Alternatively, it's possible to use a local valueset or terminologi to record specific types of alcoholic beverages. For example: red or white wine; brandy or whisky; normal or low alcohol beer; or denatured alcohol (methylated spirits) as a specific form of rectified spirits.
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| Typical consumption (alcohol units) | Typical consumption (alcohol units): Estimate of number of standard drinks of the specified type of alcohol consumed. The definition of an Alcohol unit can be recorded in the Protocol. >=0 1/wk |
| Tobacco smoking summary | Tobacco smoking summary: Summary or persistent information about the tobacco smoking habits of an individual. |
| Data | |
| Overall status | Overall status: Statement about current smoking behaviour for all types of tobacco.
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| Overall description | Overall description: Narrative summary about the individual's overall tobacco smoking pattern and history. Use this data element to record a narrative description of the tobacco smoking habits for this individual or to incorporate unstructured tobacco smoking information from existing or legacy clinical systems into an archetyped format. |
| Overall quit date | Overall quit date: The date when the individual last ceased using tobacco of any type. Can be a partial date, for example, only a year. This date could be used by decision support guidance to determine if the individual is at risk of relapse, for example in the first 12 months since quitting. |
| Overall pack years | Overall pack years: Estimate of the cumulative amount for all types of tobacco smoked. The definition of a pack can be recorded in the protocol of this archetype using the 'Pack definition' data element. >=1 |
| Physical activity summary | Physical activity summary: A summary of the typical level of physical activity undertaken by the individual. |
| Data | |
| Physical activity level (PAL) status | Physical activity level (PAL) status: The category of the typical, or usual, physical activity level of an individual. Coding with a terminology is desirable, where possible.
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| Description | Description: A narrative description about the individual's typical level of physical activity. |