archetype (adl_version=1.4)
openEHR-EHR-EVALUATION.clinical_synopsis.v1
concept
[at0000]
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] ∈ {
data ∈ {
ITEM_LIST[at0001] ∈ {
items cardinality ∈ {0..*; ordered} ∈ {
ELEMENT[at0002] ∈ {
name ∈ {
DV_CODED_TEXT ∈ {
defining_code ∈ {
[local::
at0000,
at0004,
at0005,
at0006,
at0007]
}
}
}
value ∈ {
DV_TEXT ∈ {*}
}
}
ELEMENT[at0003] occurrences ∈ {0..1} ∈ {
value ∈ {
DV_TEXT ∈ {*}
}
}
}
}
}
}
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">
>
>
>
>