| ARCHETYPE ID | openEHR-EHR-EVALUATION.medical_history_item.v1 |
|---|---|
| Concept | Medical History Item |
| Description | A medical history entry which cannot be categorised into one of the categories such as Procedure and Problem/Diagnosis. |
| Misuse | Using this when the item can be identified as a Procedure or can be identified as a Problem/Diagnosis. |
| Purpose | Allows recording of an entry in a medical history when it cannot be determined whether the entry is a Procedure or is a Problem/Diagnosis. |
| References | |
| Copyright | © openEHR Foundation |
| Authors | Author name: Organisation: National E-Health Transition Authority Email: clinicalinfo@nehta.gov.au Date originally authored: 29-Jul-2011 |
| Other Details Language | Author name: Organisation: National E-Health Transition Authority Email: clinicalinfo@nehta.gov.au Date originally authored: 29-Jul-2011 |
| Other Details (Language Independent) |
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| Keywords | |
| Lifecycle | ApprovedCandidate |
| UID | 1.2.36.1.2001.1001.100.135.1.1 |
| Language used | en |
| Citeable Identifier | 1013.1.983 |
| data | |
| Medical History Item Description | Medical History Item Description: A description of the problem, diagnosis, intervention or other medical history item. Examples: 1. Hypercholesterolaemia. 2. Left Total Knee Replacement. 3. RLL pneumonia. Optional[{detail_docref=data_elements/NEHTA-16628-Medical_History_Item_Description-Data_Element.xml}] |
| Medical History Item Timeinterval | Medical History Item Timeinterval: The date range during which the item applied or occurred. Optional[{detail_docref=data_elements/NEHTA-16629-Medical_History_Item_Timeinterval-Data_Element.xml}] |
| Medical History Item Comment | Medical History Item Comment: Free text comments providing additional information relevant to the item in question. Optional[{detail_docref=data_elements/NEHTA-16630-Medical_History_Item_Comment-Data_Element.xml}] |
| Other contributors | Eric Browne, NEHTA Stephen Chu, NEHTA Eleanor Royle, NEHTA Robert L'egan, NEHTA Don Stewart, NEHTA Ning Pan, NEHTA Stephen Royce, NEHTA |
| Translators |