TEMPLATE Risk- Influencing factors cancer (Risk- Influencing factors cancer)

TEMPLATE IDRisk- Influencing factors cancer
ConceptRisk- Influencing factors cancer
DescriptionNot Specified
PurposeNot Specified
References
Authorsdate: 2020-10-13; name: Weronika Gujo
Other Details Languagedate: 2020-10-13; name: Weronika Gujo
Other Details (Language Independent)
  • Custodian Organisation: HiGHmed
  • Original Language: ISO_639-1::en
  • MD5-CAM-1.0.1: 86311ea73f6af5626d85919a593355a8
  • PARENT:MD5-CAM-1.0.1: 7D30D55E7A5136F665655E293645D5E6
  • Sem Ver: 3.0.0
Language useden
Citeable Identifier1246.169.3418
Root archetype idopenEHR-EHR-COMPOSITION.lifestyle_factors.v0
Risk factors influencing cancerRisk 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 identificationCase identification: To record case identification details for public health purposes.
Case identifierCase identifier: The identifier of this case.
Absence of informationAbsence 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 statementAbsence 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 absenceReason 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 factorsRisk factors: Assessment of the potential and likelihood of future adverse health effects as determined by identified risk factors.
Data
Health riskHealth 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.
  • Cancer
Risk factorsRisk factors: Details about each possible risk factor.
Risk and influencing factorRisk 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.
  • Occupation
  • Nutrition
  • Alcohol
  • Smoking
  • Physical activity
  • Artificial nutrition
  • Other
PresencePresence: Presence of the risk factor.
  • Present 
  • Indeterminate 
  • Absent 
DescriptionDescription: Narrative description about the risk factor.
Food and nutrition summaryFood and nutrition summary: Summary of the food and nutritional situation for an individual.
Data
DescriptionDescription: Narrative description about the individual's diet and eating patterns.
  • Normal
  • Enteral supplementation
  • Parenteral supplementation
  • Total parenteral
Food security descriptionFood security description: Narrative description about the individual's ability to access appropriate food.
Form der ErnährungForm der Ernährung: A description of an individual's dietary preference.
For example: omnivore; vegetarian or vegan. Coding with a terminology is desirable, where possible.
  • Vegan
  • Vegetarian
  • Primarily plant-based
  • Primarily animal-based
  • Other
CommentComment: Comment about the individual's nutrition.
Alcohol consumption summaryAlcohol consumption summary: Summary or persistent information about the typical alcohol consumption of an individual.
Data
Overall descriptionOverall 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 episodePer episode: Details about a discrete period of time with a consistent pattern of typical consumption.
Episode start dateEpisode start date: Date when this episode commenced.
Can be a partial date, for example, only a year.
Episode end dateEpisode 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 typePer type: Details about consumption of a specified type of alcohol.
TypeType: 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.
  • Beer
  • Wine
  • Spirits
  • others
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 summaryTobacco smoking summary: Summary or persistent information about the tobacco smoking habits of an individual.
Data
Overall statusOverall status: Statement about current smoking behaviour for all types of tobacco.
  • Current smoker 
  • Former smoker 
Overall descriptionOverall 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 dateOverall 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 yearsOverall 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 summaryPhysical activity summary: A summary of the typical level of physical activity undertaken by the individual.
Data
Physical activity level (PAL) statusPhysical 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.
  •  Coded Text
    • Extremely inactive 
    • Sedentary 
    • Moderately active 
    • Vigorously active 
    • Extremely active 
  •  Text
DescriptionDescription: A narrative description about the individual's typical level of physical activity.