ARCHETYPE Pain (openEHR-EHR-CLUSTER.symptom-pain.v1)

ARCHETYPE IDopenEHR-EHR-CLUSTER.symptom-pain.v1
ConceptPain
DescriptionA subjective observation by an individual about pain experienced. Either self-recorded or recorded on the behalf of a patient by a clinician.
UseUse to record detailed information about pain as told to a clinician by a patient or self-recorded by the individual/patient. This archetype allows a 'nil significant' statement to be explicitly recorded.
MisuseNot to be used to record details for symptoms other than pain. Use the generic parent of this archetype - the CLUSTER.symptom instead. Not to be used for diagnoses and problems that form part of a persisting Problem List - use EVALUATION.problem_diagnosis.
PurposeTo record detail about the subjective experience of pain - either self-recorded by an individual or recorded on the behalf of a patient by a clinician.
ReferencesPain, draft archetype, openEHR Clinical Knowledge Manager [Internet]. London: openEHR Foundation. Authored: 20 Feb 2007. Available at: http://www.openehr.org/knowledge/OKM.html#showarchetype_1013.1.246 (accessed 18 Dec 2012).
Copyright© openEHR Foundation
AuthorsAuthor name: Tony Shannon
Organisation: UK NHS, Connecting for Health
Email: tony.shannon@nhs.net
Date originally authored: 2007-02-20
Other Details LanguageAuthor name: Tony Shannon
Organisation: UK NHS, Connecting for Health
Email: tony.shannon@nhs.net
Date originally authored: 2007-02-20
OtherDetails Language Independent{references=Pain, draft archetype, openEHR Clinical Knowledge Manager [Internet]. London: openEHR Foundation. Authored: 20 Feb 2007. Available at: http://www.openehr.org/knowledge/OKM.html#showarchetype_1013.1.246 (accessed 18 Dec 2012)., current_contact=Heather Leslie, Ocean Informatics, heather.leslie@oceaninformatics.com, MD5-CAM-1.0.1=5B0299992BFB827BA906C4CF94F542B3}
Keywordscomplaint, presenting, symptom
LifecycleAuthorDraft
Language useden
Citeable Identifier1013.1.246
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=A subjective observation by an individual about pain experienced. Either self-recorded or recorded on the behalf of a patient by a clinician., archetypeConceptComment=null, otherContributors=Sam Heard, Ocean Informatics
Heather Leslie, Ocean Informatics, Australia (Editor)
Ian McNicoll, Ocean Informatics, United Kingdom (Editor), originalLanguage=en, translators=German: Jasmin Buck, Sebastian Garde, University of Heidelberg, Central Queensland University
Arabic (Syria): Mona Saleh
, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={events=[], context=[], capabilities=[], activities=[], protocol=[], identities=[], source=[], credentials=[], state=[], items=[ResourceSimplifiedHierarchyItem [path=/items[at0001], code=at0001, itemType=ELEMENT, level=1, text=Symptom, description=The symptom experienced., comment=Coding with an external terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0035], code=at0035, itemType=ELEMENT, level=1, text=Nil Significant, description=The person has not had any significant experience of the symptom., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=Allowed values: {true}, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0002], code=at0002, itemType=ELEMENT, level=1, text=Clinical Description, description=Description of the symptom., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=[SNOMED-CT::162408000 | General symptom description (finding)], values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0151], code=at0151, itemType=ELEMENT, level=1, text=Body Site, description=Identification of body site., comment=Coding with a pre-coordinated terminology value set is preferred, if possible., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0147], code=at0147, itemType=SLOT, level=1, text=Location in Body, description=Details of the location in the body., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.anatomical_location.v1 and specialisations
Exclude:
All not explicitly included archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0.152], code=at0.152, itemType=SLOT, level=1, text=Radiating To, description=Details about body location where the pain radiates to., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.anatomical_location.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0021], code=at0021, itemType=ELEMENT, level=1, text=Severity, description=The severity of the symptom., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=[SNOMED-CT::162465004 | Symptom severity (finding)], values=1: Trivial [The symptom is trivial and causes no problems.]
[SNOMED-CT::162466003 | Symptom trivial (finding)]

2: Mild [The symptom does not interfere greatly with day to day activities.]
[SNOMED-CT::162468002 | Symptom mild (finding)]

5: Moderate [The symptom interferes with day to day activities.]
[SNOMED-CT::162469005 | Symptom moderate (finding)]

8: Severe [The symptom prohibits some key daily activities.]
[SNOMED-CT::162470006 | Symptom severe (finding)]

9: Very severe [The symptom is almost maximum possible intensity and prohibits any activity.]
[SNOMED-CT::162471005 | Symptom very severe (finding)]

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0046], code=at0046, itemType=CLUSTER, level=1, text=Current Intensity, description=Measures of the intensity of the symptom at this time., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0046]/items[at0047], code=at0047, itemType=ELEMENT, level=2, text=Degree, description=The degree the symptom is bothering the patient., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: Not present [The symptom is not present.]
1: Trivial [The symptom is trivial and causes no problems.]
[SNOMED-CT::162466003 | Symptom trivial (finding)]

2: Mild [The symptom does not interfere greatly with day to day activities.]
[SNOMED-CT::162468002 | Symptom mild (finding)]

5: Moderate [The symptom interferes with day to day activities.]
[SNOMED-CT::162469005 | Symptom moderate (finding)]

8: Severe [The symptom prohibits some key daily activities.]
[SNOMED-CT::162470006 | Symptom severe (finding)]

9: Very severe [The symptom is almost maximum possible intensity and prohibits any activity.]
[SNOMED-CT::162471005 | Symptom very severe (finding)]

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0046]/items[at0026.1], code=at0026.1, itemType=ELEMENT, level=2, text=Pain Score, description=A score from 0 (not present) to 10 (as bad as it could be)., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0; max: <=10

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0046]/items[at0150], code=at0150, itemType=ELEMENT, level=2, text=Degree, description=The intensity of the symptom expressed as a proportion., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_PROPORTION, bindings=null, values=
  • Ratio
Numerator: >=0.0
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0028], code=at0028, itemType=ELEMENT, level=1, text=Duration, description=The duration of the symptom since onset., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=[SNOMED-CT::162442009 | Time symptom lasts (observable entity)], values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0031], code=at0031, itemType=ELEMENT, level=1, text=Number of Occurrences, description=The number of times this symptom has occurred., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0032], code=at0032, itemType=ELEMENT, level=1, text=Character, description=The character of the symptom., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0003], code=at0003, itemType=ELEMENT, level=1, text=Variation, description=The variation of the symptom., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Constant [The symptom is constantly present.]
  • Intermittent [The symptom is present at times and not at others.]
  • Fluctuating [The symptom varys considerably but is almost always present.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0058], code=at0058, itemType=CLUSTER, level=1, text=Previous Episodes, description=Details about previous episodes., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0058]/items[at0059], code=at0059, itemType=ELEMENT, level=2, text=Any Previous Episodes, description=Have there been any previous episodes of this symptom., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0058]/items[at0090], code=at0090, itemType=CLUSTER, level=2, text=Previous Episode, description=Details about a specific episode., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0058]/items[at0090]/items[at0142], code=at0142, itemType=ELEMENT, level=3, text=Date / time of previous episode, description=Date/time of previous episode., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0058]/items[at0090]/items[at0057], code=at0057, itemType=ELEMENT, level=3, text=Details, description=Details of previous symptoms and comparison to this episode., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0058]/items[at0090]/items[at0143], code=at0143, itemType=ELEMENT, level=3, text=Comparison, description=How the previous episode compares with this one., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0058]/items[at0090]/items[at0146], code=at0146, itemType=SLOT, level=3, text=Details, description=Structured details of symptoms in previous episodes., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.symptom.v1, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0058]/items[at0098], code=at0098, itemType=ELEMENT, level=2, text=Number of Previous Episodes, description=Number of previous episodes., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0033], code=at0033, itemType=CLUSTER, level=1, text=Course, description=Features of the course of the symptom., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=[SNOMED-CT::260908002], values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0033]/items[at0008], code=at0008, itemType=ELEMENT, level=2, text=Onset Type, description=The nature of the onset of the symptom., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Gradual [Over a longer period of time.]
  • Rapid [Over a short period of time.]
  • Sudden [Almost immediate.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0033]/items[at0060], code=at0060, itemType=ELEMENT, level=2, text=Onset Description, description=Activity or situation at and details of onset., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0033]/items[at0030], code=at0030, itemType=ELEMENT, level=2, text=Time of Maximum Intensity, description=The time (and/or date) of maximum intensity of the symptom., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0033]/items[at0037], code=at0037, itemType=ELEMENT, level=2, text=Progression, description=The progress of the symptom relative to the past., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Improving [The symptom has improved over time.]
    [SNOMED-CT::385633008] (Improving (qualifier value))
  • Decreasing [The symptom is decreasing in intensity over time.]
    [SNOMED-CT::260371004] (Decreasing (qualifier value))
  • Stable [The symptom has not changed over time.]
    [SNOMED-CT::58158008] (Stable (qualifier value))
  • Increasing [The symptom is increasing in intensity over time.]
    [SNOMED-CT::260369004] (Increasing (qualifier value))
  • Worsening [The symptom is getting worse over.]
    [SNOMED-CT::230993007] (Worsening (qualifier value))
  • Has resolved [The symptom has resolved over time.]
    [SNOMED-CT::370996005] (Patient condition resolved (finding))
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0033]/items[at0011], code=at0011, itemType=ELEMENT, level=2, text=Cessation, description=The nature of the cessation of the symptom., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Gradual [Over a longer period of time.]
  • Rapid [Over a short period of time.]
  • Sudden [Almost immediate.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0014], code=at0014, itemType=CLUSTER, level=1, text=Precipitating factors, description=Factors that trigger or bring on the symptom., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=[SNOMED-CT::57465006], values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0014]/items[at0015], code=at0015, itemType=ELEMENT, level=2, text=Precipitating Factor, description=An event or activity that brings on or triggers the symptom., comment=null, uncommonOntologyItems=null, occurencesFormal=1..*, occurencesText=Mandatory, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=[SNOMED-CT::57465006], values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0016], code=at0016, itemType=CLUSTER, level=1, text=Modification, description=Factors that change the level of intensity of the symptom., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=[SNOMED-CT::68027008], values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0016]/items[at0018], code=at0018, itemType=CLUSTER, level=2, text=Modifying Factor, description=Information about a specific factor that changes the symptom., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0016]/items[at0018]/items[at0019], code=at0019, itemType=ELEMENT, level=3, text=Factor, description=An event or activity that modifies the symptom., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0016]/items[at0018]/items[at0017], code=at0017, itemType=ELEMENT, level=3, text=Change, description=An event or activity that makes the symptom worse., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=-3: Relieved completely [The symptom is relieved by this factor.]
-2: Made better [The symptom is made better by this factor.]
-1: Somewhat improved [The symptom is somewhat improved by this factor.]
0: No change [The symptom is not modified by this factor.]
1: Somewhat worse [The symptom is made somewhat worse by this factor.]
2: Made worse [The symptom is made worse by this factor.]
3: Much worse [The symptom is made much worse by this factor.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0016]/items[at0018]/items[at0056], code=at0056, itemType=ELEMENT, level=3, text=Details, description=Details of the effect., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0063], code=at0063, itemType=SLOT, level=1, text=Associated symptoms, description=Associated symptoms., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.symptom.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0061], code=at0061, itemType=CLUSTER, level=1, text=Features not present, description=Anticipated features which are not present., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0061]/items[at0062], code=at0062, itemType=ELEMENT, level=2, text=Absent feature, description=A feature that is not present., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], contacts=[], target=[], relationships=[], description=[], ism_transition=[], content=[], details=[], other_participations=[], data=[], provider=[]}, topLevelItems={items=ResourceSimplifiedHierarchyItem [path=ROOT_/, code=at0000.1, itemType=CLUSTER, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=items, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/items[at0001], code=at0001, itemType=ELEMENT, level=1, text=Symptom, description=The symptom experienced., comment=Coding with an external terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0035], code=at0035, itemType=ELEMENT, level=1, text=Nil Significant, description=The person has not had any significant experience of the symptom., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=Allowed values: {true}, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0002], code=at0002, itemType=ELEMENT, level=1, text=Clinical Description, description=Description of the symptom., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=[SNOMED-CT::162408000 | General symptom description (finding)], values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0151], code=at0151, itemType=ELEMENT, level=1, text=Body Site, description=Identification of body site., comment=Coding with a pre-coordinated terminology value set is preferred, if possible., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0147], code=at0147, itemType=SLOT, level=1, text=Location in Body, description=Details of the location in the body., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.anatomical_location.v1 and specialisations
Exclude:
All not explicitly included archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0.152], code=at0.152, itemType=SLOT, level=1, text=Radiating To, description=Details about body location where the pain radiates to., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.anatomical_location.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0021], code=at0021, itemType=ELEMENT, level=1, text=Severity, description=The severity of the symptom., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=[SNOMED-CT::162465004 | Symptom severity (finding)], values=1: Trivial [The symptom is trivial and causes no problems.]
[SNOMED-CT::162466003 | Symptom trivial (finding)]

2: Mild [The symptom does not interfere greatly with day to day activities.]
[SNOMED-CT::162468002 | Symptom mild (finding)]

5: Moderate [The symptom interferes with day to day activities.]
[SNOMED-CT::162469005 | Symptom moderate (finding)]

8: Severe [The symptom prohibits some key daily activities.]
[SNOMED-CT::162470006 | Symptom severe (finding)]

9: Very severe [The symptom is almost maximum possible intensity and prohibits any activity.]
[SNOMED-CT::162471005 | Symptom very severe (finding)]

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0046], code=at0046, itemType=CLUSTER, level=1, text=Current Intensity, description=Measures of the intensity of the symptom at this time., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0046]/items[at0047], code=at0047, itemType=ELEMENT, level=2, text=Degree, description=The degree the symptom is bothering the patient., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: Not present [The symptom is not present.]
1: Trivial [The symptom is trivial and causes no problems.]
[SNOMED-CT::162466003 | Symptom trivial (finding)]

2: Mild [The symptom does not interfere greatly with day to day activities.]
[SNOMED-CT::162468002 | Symptom mild (finding)]

5: Moderate [The symptom interferes with day to day activities.]
[SNOMED-CT::162469005 | Symptom moderate (finding)]

8: Severe [The symptom prohibits some key daily activities.]
[SNOMED-CT::162470006 | Symptom severe (finding)]

9: Very severe [The symptom is almost maximum possible intensity and prohibits any activity.]
[SNOMED-CT::162471005 | Symptom very severe (finding)]

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0046]/items[at0026.1], code=at0026.1, itemType=ELEMENT, level=2, text=Pain Score, description=A score from 0 (not present) to 10 (as bad as it could be)., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0; max: <=10

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0046]/items[at0150], code=at0150, itemType=ELEMENT, level=2, text=Degree, description=The intensity of the symptom expressed as a proportion., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_PROPORTION, bindings=null, values=
  • Ratio
Numerator: >=0.0
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  • Constant [The symptom is constantly present.]
  • Intermittent [The symptom is present at times and not at others.]
  • Fluctuating [The symptom varys considerably but is almost always present.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0058], code=at0058, itemType=CLUSTER, level=1, text=Previous Episodes, description=Details about previous episodes., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0058]/items[at0059], code=at0059, itemType=ELEMENT, level=2, text=Any Previous Episodes, description=Have there been any previous episodes of this symptom., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0058]/items[at0090], code=at0090, itemType=CLUSTER, level=2, text=Previous Episode, description=Details about a specific episode., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0058]/items[at0090]/items[at0142], code=at0142, itemType=ELEMENT, level=3, text=Date / time of previous episode, description=Date/time of previous episode., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0058]/items[at0090]/items[at0057], code=at0057, itemType=ELEMENT, level=3, text=Details, description=Details of previous symptoms and comparison to this episode., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0058]/items[at0090]/items[at0143], code=at0143, itemType=ELEMENT, level=3, text=Comparison, description=How the previous episode compares with this one., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0058]/items[at0090]/items[at0146], code=at0146, itemType=SLOT, level=3, text=Details, description=Structured details of symptoms in previous episodes., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.symptom.v1, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0058]/items[at0098], code=at0098, itemType=ELEMENT, level=2, text=Number of Previous Episodes, description=Number of previous episodes., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0033], code=at0033, itemType=CLUSTER, level=1, text=Course, description=Features of the course of the symptom., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=[SNOMED-CT::260908002], values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0033]/items[at0008], code=at0008, itemType=ELEMENT, level=2, text=Onset Type, description=The nature of the onset of the symptom., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Gradual [Over a longer period of time.]
  • Rapid [Over a short period of time.]
  • Sudden [Almost immediate.]
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  • Improving [The symptom has improved over time.]
    [SNOMED-CT::385633008] (Improving (qualifier value))
  • Decreasing [The symptom is decreasing in intensity over time.]
    [SNOMED-CT::260371004] (Decreasing (qualifier value))
  • Stable [The symptom has not changed over time.]
    [SNOMED-CT::58158008] (Stable (qualifier value))
  • Increasing [The symptom is increasing in intensity over time.]
    [SNOMED-CT::260369004] (Increasing (qualifier value))
  • Worsening [The symptom is getting worse over.]
    [SNOMED-CT::230993007] (Worsening (qualifier value))
  • Has resolved [The symptom has resolved over time.]
    [SNOMED-CT::370996005] (Patient condition resolved (finding))
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0033]/items[at0011], code=at0011, itemType=ELEMENT, level=2, text=Cessation, description=The nature of the cessation of the symptom., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Gradual [Over a longer period of time.]
  • Rapid [Over a short period of time.]
  • Sudden [Almost immediate.]
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-2: Made better [The symptom is made better by this factor.]
-1: Somewhat improved [The symptom is somewhat improved by this factor.]
0: No change [The symptom is not modified by this factor.]
1: Somewhat worse [The symptom is made somewhat worse by this factor.]
2: Made worse [The symptom is made worse by this factor.]
3: Much worse [The symptom is made much worse by this factor.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0016]/items[at0018]/items[at0056], code=at0056, itemType=ELEMENT, level=3, text=Details, description=Details of the effect., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0063], code=at0063, itemType=SLOT, level=1, text=Associated symptoms, description=Associated symptoms., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
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