TEMPLATE Familienanamnese (Familienanamnese)

TEMPLATE IDFamilienanamnese
ConceptFamilienanamnese
DescriptionNot Specified
PurposeNot Specified
References
Authorsdate: 2020-02-05
Other Details Languagedate: 2020-02-05
OtherDetails Language Independent{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/., custodian_organisation=openEHR Foundation, PARENT:MD5-CAM-1.0.1=55DB2D45BC470E831EE8C905348471E4, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=74f9070c57a30fa5d8ec97ff5570a148}
Language useden
Citeable Identifier1246.169.517
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For example: this data element can support recording general statements such as "No known history of ..." where the 'Excluded concept' identifies the specific problem, diagnosis, substance, procedure or medication. If the 'Excluded concept' data element is used to record a precoordinated term such as 'No family history of diabetes', this element is redundant., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-EVALUATION.exclusion_specific.v1]/data[at0001]/items[at0003], code=at0003, itemType=ELEMENT, level=3, text=(Excluded concept), description=Identification of the specific concept which has been excluded., comment=Use this data element in one of two ways. Firstly, exclusion of family history of diabetes can be expressed by using 'Family problem/diagnosis' as the run-time name constraint and 'diabetes' as the value for this data point. Alternatively the value could contain precoordinated terms such as 'No past family history of diabetes'. Coding of the value for 'Excluded concept', either as a simple or precoordinated term, with a terminology is desirable where possible. 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If the problem has psychosocial or environmental effects then non-genetic family members may also be included., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-EVALUATION.family_history.v2]/data[at0001]/items[at0028]/items[at0029], code=at0029, itemType=ELEMENT, level=4, text=Krebsdiagnose, description=Identification of the significant problem or diagnosis in the family overall., comment=This is the problem for which aggregated data involving all family members will be collected. Coding of the index problem with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-EVALUATION.family_history.v2]/data[at0001]/items[at0028]/items[at0030], code=at0030, itemType=ELEMENT, level=4, text=Description, description=Narrative description about occurrence of the problem or diagnosis in family members., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-EVALUATION.family_history.v2]/data[at0001]/items[at0028]/items[openEHR-EHR-CLUSTER.family_prevalence.v1], code=at0000, itemType=CLUSTER, level=4, text=Family prevalence, description=Summary information about the prevalence of a risk factor, problem or diagnosis in all family members., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-EVALUATION.family_history.v2]/data[at0001]/items[at0028]/items[openEHR-EHR-CLUSTER.family_prevalence.v1]/items[at0031], code=at0031, itemType=CLUSTER, level=5, text=Affected family, description=Details about the numbers of family members affected., comment=This cluster will be repeated for each relationship, family line, sex value or combination of all three. For example, the cluster will be repeated for any or all of first degree relative (without sex specified), first degree relative from maternal line; first degree male relative or first degree female relative; or all males, all females., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-EVALUATION.family_history.v2]/data[at0001]/items[at0028]/items[openEHR-EHR-CLUSTER.family_prevalence.v1]/items[at0031]/items[at0032], code=at0032, itemType=ELEMENT, level=6, text=Relationship, description=The degree of relationship between the subject of care and a selected group of family members., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • First degree relative  [50% genetic share with the subject - for example, parent, sibling or child.]
  • Second degree relative  [25% genetic share with the subject - for example, grandparent, aunt, uncle, niece, nephew, grandchildren and half siblings.]
  • Third degree relative  [12.5% genetic share with the subject - for example, great grandparent, great aunt, great uncle, first cousin, children of nieces and nephews, and great grandchildren.]
  • Genetic family  [All genetically-related family members.]
  • Non-genetic family  [All non-genetic family members.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-EVALUATION.family_history.v2]/data[at0001]/items[at0028]/items[openEHR-EHR-CLUSTER.family_prevalence.v1]/items[at0031]/items[at0051], code=at0051, itemType=ELEMENT, level=6, text=Family line, description=Identification of the maternal or paternal family line in the relationship., comment=Only for use with genetic family members., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Maternal line  [Related through the subject's mother.]
  • Paternal line  [Related through the subject's father.]
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  • Male  [Family member who is biologically male.]
  • Female  [Family member who is biologically female.]
  • Indeterminate/Intersex/Unspecified  [Family member who either has the biological attributes of both sexes or lacks some of the biological attributes considered necessary to be defined as one or the other sex.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-EVALUATION.family_history.v2]/data[at0001]/items[at0003], code=at0003, itemType=CLUSTER, level=3, text=Per family member, description=Details about a specific family member., comment=The data elements in this cluster will relate to the individual identified either by name or by alias. Repeat the use of the cluster for other family members., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-EVALUATION.family_history.v2]/data[at0001]/items[at0003]/items[at0020], code=at0020, itemType=ELEMENT, level=4, text=Familienmitglieds ID, description=An alternative name or label to uniquely identify a family member, without using a personal name which might publicly identify the individual., comment=To be used to assist in distinguishing one individual from multiple family members with identical relationships. For example, the label to distinguish one specific sister from three known sisters might be 'eldest sister' 'sister with the red hair' or 'sister #1'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-EVALUATION.family_history.v2]/data[at0001]/items[at0003]/items[at0016], code=at0016, itemType=ELEMENT, level=4, text=Relationship, description=The relationship of the family member to the subject of care., comment=For example: mother, step-father, maternal grandmother, or paternal uncle. Coding of the relationship with a terminology is preferred, where possible and including specification of maternal and paternal as required., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Vater  []
  • Mutter  []
  • Bruder  []
  • Schwester  []
  • Sohn  []
  • Tochter  []
  • Großvater  []
  • Großmutter  []
  • Onkel  []
  • Tante  []
  • Cousin  []
  • Cousine  []
  • Neffe  []
  • Nichte  []
  • Enkelsohn  []
  • Enkeltochter  []
  • Urenkelsohn  []
  • Urenkeltochter  []
  • Großonkel  []
  • Großtante  []
  • Großneffe  []
  • Großnichte  []
  • Großcousin  []
  • Großcousine  []
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  •  Coded Text
    • Direct cause or closely related  [The problem or diagnosis was a direct cause or closely related to the direct cause of death.]
    • Unrelated  [The problem or diagnosis was unrelated to the cause of death.]
    • Indeterminate  [It is impossible to determine whether the problem or diagnosis was closely related to the direct cause of death.]
  •  Text
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