archetype (adl_version=1.4) openEHR-EHR-EVALUATION.clinical_synopsis.v1 concept [at0000] -- Clinical synopsis language original_language = <[ISO_639-1::en]> description original_author = < ["name"] = <"Sam Heard"> ["organisation"] = <"Ocean Informatics"> ["date"] = <"9/01/2007"> ["email"] = <"sam.heard@oceaninformatics.biz"> > details = < ["en"] = < language = <[ISO_639-1::en]> purpose = <"A general evaluative statement for the conclusions or summary by a clinician"> use = <""> keywords = <"summary", "conclusions"> misuse = <"Do not use for a specific problem, diagnosis or histological diagnosis (see openEHR-EHR-EVALUATION.problem*)"> > > lifecycle_state = <"Initial"> other_contributors = <> definition EVALUATION[at0000] matches { -- Clinical synopsis data matches { ITEM_LIST[at0001] matches { -- List items cardinality matches {0..*; ordered} matches { ELEMENT[at0002] matches { -- Synopsis name matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0000, -- Clinical synopsis at0004, -- Assessment at0005, -- Summary at0006, -- Evaluation at0007] -- Conclusions } } } value matches { DV_TEXT matches {*} } } ELEMENT[at0003] occurrences matches {0..1} matches { -- Rationale value matches { DV_TEXT matches {*} } } } } } } ontology term_definitions = < ["en"] = < items = < ["at0000"] = < description = <"The evaluation or interpretation of the findings"> text = <"Clinical synopsis"> > ["at0001"] = < description = <"@ internal @"> text = <"List"> > ["at0002"] = < description = <"The summary, assessment, conclusions or evaluation of the clinical findings"> text = <"Synopsis"> > ["at0003"] = < description = <"The rationale for the evaluation provided"> text = <"Rationale"> > ["at0004"] = < description = <"Assessment of the clinical findings"> text = <"Assessment"> > ["at0005"] = < description = <"The summary evaluation of the findings"> text = <"Summary"> > ["at0006"] = < description = <"The evaluation of the findings"> text = <"Evaluation"> > ["at0007"] = < description = <"The conclusion based on the findings"> text = <"Conclusions"> > > > >