TEMPLATE Corona_Anamnese (Corona_Anamnese)

TEMPLATE ID	Corona_Anamnese
Concept	Corona_Anamnese
Description	Not Specified
Purpose	Not Specified
References
Other Details (Language Independent)	MetaDataSet:Sample Set : Template metadata sample set
Language used	en
Citeable Identifier	1246.169.683
Root archetype id	openEHR-EHR-COMPOSITION.report.v1
Report	Report: Document to communicate information to others, commonly in response to a request from another party.
Other Context
Report ID	Report ID: Identification information about the report.
Status	Status: The status of the entire report. Note: This is not the status of any of the report components.
Case identification	Case identification: To record case identification details for public health purposes.
Case identifier	Case identifier: The identifier of this case.
Symptome	Symptome: A generic section header which should be renamed in a template to suit a specific clinical context.
Problem/Diagnosis	Problem/Diagnosis: 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.
Husten	Husten: Reported observation of a physical or mental disturbance in an individual.
Symptom/Sign name	Symptom/Sign name: The name of the reported symptom or sign. Symptom name should be coded with a terminology, where possible. Husten
Vorhanden?	Vorhanden?: The identified symptom or sign was reported as not being present to any significant degree. Record as True if the subject of care has reported the symptom as not significant. For example: if the individual has never experienced the symptom it is appropriate to record 'nil significant'; or if the individual commonly experiences the symptom, in some circumstances it may be considered appropriate to record 'nil significant' if the individual has experienced no deviation from their 'normal' baseline.
Schnupfen	Schnupfen: Reported observation of a physical or mental disturbance in an individual.
Symptom/Sign name	Symptom/Sign name: The name of the reported symptom or sign. Symptom name should be coded with a terminology, where possible. Schnupfen
Vorhanden?	Vorhanden?: The identified symptom or sign was reported as not being present to any significant degree. Record as True if the subject of care has reported the symptom as not significant. For example: if the individual has never experienced the symptom it is appropriate to record 'nil significant'; or if the individual commonly experiences the symptom, in some circumstances it may be considered appropriate to record 'nil significant' if the individual has experienced no deviation from their 'normal' baseline.
Erhöhte Temperatur	Erhöhte Temperatur: Reported observation of a physical or mental disturbance in an individual.
Symptom/Sign name	Symptom/Sign name: The name of the reported symptom or sign. Symptom name should be coded with a terminology, where possible. Erhöhte Temperatur
Vorhanden?	Vorhanden?: The identified symptom or sign was reported as not being present to any significant degree. Record as True if the subject of care has reported the symptom as not significant. For example: if the individual has never experienced the symptom it is appropriate to record 'nil significant'; or if the individual commonly experiences the symptom, in some circumstances it may be considered appropriate to record 'nil significant' if the individual has experienced no deviation from their 'normal' baseline.
Heiserkeit	Heiserkeit: Reported observation of a physical or mental disturbance in an individual.
Symptom/Sign name	Symptom/Sign name: The name of the reported symptom or sign. Symptom name should be coded with a terminology, where possible. Heiserkeit
Vorhanden?	Vorhanden?: The identified symptom or sign was reported as not being present to any significant degree. Record as True if the subject of care has reported the symptom as not significant. For example: if the individual has never experienced the symptom it is appropriate to record 'nil significant'; or if the individual commonly experiences the symptom, in some circumstances it may be considered appropriate to record 'nil significant' if the individual has experienced no deviation from their 'normal' baseline.
Gestörter Geruchssinn	Gestörter Geruchssinn: Reported observation of a physical or mental disturbance in an individual.
Symptom/Sign name	Symptom/Sign name: The name of the reported symptom or sign. Symptom name should be coded with a terminology, where possible. Gestörter Geruchssinn
Vorhanden?	Vorhanden?: The identified symptom or sign was reported as not being present to any significant degree. Record as True if the subject of care has reported the symptom as not significant. For example: if the individual has never experienced the symptom it is appropriate to record 'nil significant'; or if the individual commonly experiences the symptom, in some circumstances it may be considered appropriate to record 'nil significant' if the individual has experienced no deviation from their 'normal' baseline.
Gestörter Geschmackssinn	Gestörter Geschmackssinn: Reported observation of a physical or mental disturbance in an individual.
Symptom/Sign name	Symptom/Sign name: The name of the reported symptom or sign. Symptom name should be coded with a terminology, where possible. Gestörter Geschmackssinn
Vorhanden?	Vorhanden?: The identified symptom or sign was reported as not being present to any significant degree. Record as True if the subject of care has reported the symptom as not significant. For example: if the individual has never experienced the symptom it is appropriate to record 'nil significant'; or if the individual commonly experiences the symptom, in some circumstances it may be considered appropriate to record 'nil significant' if the individual has experienced no deviation from their 'normal' baseline.
Durchfall	Durchfall: Reported observation of a physical or mental disturbance in an individual.
Symptom/Sign name	Symptom/Sign name: The name of the reported symptom or sign. Symptom name should be coded with a terminology, where possible. Durchfall
Vorhanden?	Vorhanden?: The identified symptom or sign was reported as not being present to any significant degree. Record as True if the subject of care has reported the symptom as not significant. For example: if the individual has never experienced the symptom it is appropriate to record 'nil significant'; or if the individual commonly experiences the symptom, in some circumstances it may be considered appropriate to record 'nil significant' if the individual has experienced no deviation from their 'normal' baseline.
Body temperature	Body temperature: A measurement of the body temperature, which is a surrogate for the core body temperature of the 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
Temperature	Temperature: The measured body temperature (as a surrogate for the core of the body). 0..100; 30..200 Units: °C (UCUM: Cel) °F (UCUM: [degF])
Kontakt	Kontakt: A generic section header which should be renamed in a template to suit a specific clinical context.
UMG_COVID-19 Kontakt	UMG_COVID-19 Kontakt: Zur Darstellung eines Kontaktes zu Personen mit Coronainfektion.
Data
Jedes Ereignis	Jedes Ereignis: *
Data
Kontakt zur COVID-19 Patient	Kontakt zur COVID-19 Patient: Hatten Sie in den letzten 14 Tagen Kontakt zu Personen mit Coronainfektion?
Kontaktperson	Kontaktperson: Benennen Sie die Person mit Coronainfektion zu der Sie Kontakt hatten.
Kontakt Gesundheitseinrichtung	Kontakt Gesundheitseinrichtung: Leben/Wohnen/Arbeiten Sie in einer Einrichtung des Gesundheitswesens (Pflegeeinrichtung/ Krankenhaus), in dem gehäuft Atemwegserkrankungen aufgetreten sind?
Risikogebiet	Risikogebiet: A generic section header which should be renamed in a template to suit a specific clinical context.
Travel event	Travel event: Details about travel during an interval of time.
Data
Any interval event	Any interval event: Default, unspecified interval event which may be explicitly defined in a template or at run-time.
Data
Travel?	Travel?: Has the individual travelled during the specified interval? Use the Event to set the relevant interval. No Yes - national Yes - international
Trip detail	Trip detail: Details about a single trip away from the home base. The trip has a single departure and return date to their home base. A trip may include visiting many individual places, and these details should be recorded in the Itinerary.
Travel destination	Travel destination: Details about a single location visited on a trip.
Country	Country: The country visited.
Allgemeine Angaben	Allgemeine Angaben: A generic section header which should be renamed in a template to suit a specific clinical context.
Aktuelle Erkrankungen	Aktuelle Erkrankungen: 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.
Chronische Erkrankungen	Chronische Erkrankungen: 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.
Aktuelle Medikation	Aktuelle Medikation: Summary information about the administration or consumption history for a specified medication or class of medication over the individual's lifetime.
Data
Medication name	Medication name: Name of medication or class of medication.
Current use?	Current use?: Is the individual currently using the medication or class of medications?
Patient admission	Patient admission: Used for admitted patient only. It signals the beginning of a patient's stay in a health care facility.
Data
Person name	Person name: Details of personal name of an individual, provider or third party.
Structured name	Structured name: Name in structured format.
Given name	Given name: Given / personal / first name.
Family name	Family name: Family name or Surname.
Birth data	Birth data: Birth demographic data
Birth date	Birth date: The date of birth of a person
Communication details	Communication details: Personal or organisational communication details.
Telecoms	Telecoms: One or more telecoms contacts for an individual.
Structured telecoms	Structured telecoms: A structure for telephone numbers composed of separately identifiable elements. ENV13606-4:2000 7.11.18.
Number	Number: Telephone number.
UMG_COVID-19 Kontakt	UMG_COVID-19 Kontakt: Zur Darstellung eines Kontaktes zu Personen mit Coronainfektion.
Data
Jedes Ereignis	Jedes Ereignis: *
Data
Spätere Kontaktierung	Spätere Kontaktierung: Sind Sie mit einer Kontaktaufnahme durch den Arzt/die Klinik zu einem späteren Zeitpunkt einverstanden?
Screening-Fragebogen zur Symptomen/Anzeichen #1	Screening-Fragebogen zur Symptomen/Anzeichen #1: An individual- or self-reported questionnaire screening for symptoms and signs.
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: Grouping of data elements related to screening for a single symptom or sign.
Symptom or sign name	Symptom or sign name: Name of the symptom or sign being screened.
Ergänzende Angaben	Ergänzende Angaben: Additional narrative about the symptoms and signs, not captured in other fields.