ARCHETYPE Differential diagnoses (openEHR-EHR-EVALUATION.differential_diagnosis.v1)

ARCHETYPE IDopenEHR-EHR-EVALUATION.differential_diagnosis.v1
ConceptDifferential diagnoses
DescriptionA set of 1 or more diagnoses considered as reasonable but as yet hypothetical causes of the patients signs and symptoms Set of one or more interim diagnoses that could account for a patient's history, examination findings, measurements and results. In practice, the intent is that as further evidence is gathered differential diagnoses will be eliminated one by one until one diagnosis becomes most likely.
UseUse to record a set of differential diagnoses that are to be used as part of the diagnostic process.
MisuseNot to be used to record information about working problems or diagnoses - use EVALUATION.problem.
PurposeTo express one or more suspected or probable diagnoses, until a single, working diagnosis is determined.
References
Copyright© openEHR Foundation
AuthorsAuthor name: Sam Heard
Organisation: Ocean Informatics
Email: Sam.Heard@OceanInformatics.com
Date originally authored: 2004-12-08
Other Details LanguageAuthor name: Sam Heard
Organisation: Ocean Informatics
Email: Sam.Heard@OceanInformatics.com
Date originally authored: 2004-12-08
Other Details (Language Independent)
  • MD5-CAM-1.0.1: 2138FACD9999C7AC18F2FAAFB96FD062
Keywordsdifferential, diagnosis
LifecycleAuthorDraft
Language useden
Citeable Identifier1013.1.1187
protocol
ReferenceReference: Any literary references supporting the diagnoses.
data
DifferentialDifferential: A group of diagnoses or explanation and likelihoods being considered.
DiagnosisDiagnosis: Identification of diagnosis. It is desirable that this should be coded where possible.
LikelihoodLikelihood: The likelihood of this diagnosis being present.
  • Suspected [Possibly the diagnosis, but without a weight of supportive evidence.]
  • Likely [Likely to be the working diagnosis, with good supportive evidence.]
RationaleRationale: Rationale for this diagnosis being included as a differential.
CommentComment: Comment on the whole set of differential diagnoses.
Optional[{fsn=Differential Diagnosis Comment}]
Other contributorsDipak Kalra, UCL
Heather Leslie, Ocean Informatics, Australia
Translators