| |
Concept |
Description |
Type |
Cardinality |
Values |
 Symptom |
The symptom experienced | Text
| mandatory
1..1 |
Free or coded text |
 Nil significant |
The person has not had any significant experience of the symptom. | Boolean
| optional
0..1 |
True |
 Features, The features of the symptom. Cluster (0..1) optional |
| |
Concept |
Description |
Type |
Cardinality |
Values |
| Clinical description [SNOMED-CT: 162408000] |
Description of the symptom | Text
| optional
0..1 |
Free or coded text |
| Location in body [SNOMED-CT: 91722005] |
The location(s) of the symptom in the body | Text
| optional, repeating
0..* |
Free or coded text |
 Severity[SNOMED-CT: 162465004] |
The severity of the symptom | Ordinal
| optional
0..1 |
1, trivial
2, mild
5, moderate
8, severe
9, very severe |
| Previous episodes, Details about previous episodes. Cluster (0..1) optional |
| |
Concept |
Description |
Type |
Cardinality |
Values |
| Any previous episodes |
Have there been any previous episodes of this symptom | Boolean
| optional
0..1 |
True, False |
| Details |
Details of previous symptoms and comparison to this episode | Text
| optional
0..1 |
Free or coded text |
|
|
|
| Course, Features of the course of the symptom. Cluster (0..1) optional |
| |
Concept |
Description |
Type |
Cardinality |
Values |
| Onset type |
The nature of the onset of the symptom | Coded text
| optional
0..1 |
Gradual
Rapid
Sudden |
| Onset description |
Activity or situation at and details of onset | Text
| optional
0..1 |
Free or coded text |
 Time of maximum intensity |
The time (and/or date) of maximum intensity of the symptom | Date & Time
| optional
0..1 |
Allow all
yyyy-??-??t??:??:?? |
| Progression |
The progress of the symptom relative to the past | Coded text
| optional
0..1 |
improving
decreasing
stable
increasing
worsening
has resolved |
| Cessation |
The nature of the cessation of the symptom | Coded text
| optional
0..1 |
Gradual
Rapid
Sudden |
|
|
|
| Precipitating factors, Factors that trigger or bring on the symptom. Cluster (0..1) optional |
| |
Concept |
Description |
Type |
Cardinality |
Values |
| Precipitating factor [SNOMED-CT: 57465006] |
An event or activity that brings on or triggers the symptom | Text
| mandatory, repeating
1..* |
Free or coded text |
|
|
|
| Modification, Factors that change the level of intensity of the symptom. Cluster (0..1) optional |
| |
| Modifying factor, Information about a specific factor that changes the symptom. Cluster (0..1) optional |
| |
Concept |
Description |
Type |
Cardinality |
Values |
| Factor |
An event or activity that modifies the symptom | Text
| optional, repeating
0..* |
Free or coded text |
| Change |
An event or activity that makes the symptom worse | Ordinal
| optional
0..1 |
-3, Relieved completely
-2, Made better
-1, Somewhat improved
0, No change
1, Somewhat worse
2, Made worse
3, Much worse |
| Details |
Details of the effect | Text
| optional
0..1 |
Free or coded text |
|
|
|
|
|
|
| Associated symptoms, Symptoms associated with this symptom. Cluster (0..1) optional |
| |
Slot |
Type |
Occurrences |
Constraints |
 |
CLUSTER |
0..* |
Include entries
Exclude entries:
|
|
|
|
| Features not present, *. Cluster (0..1) optional |
| |
Concept |
Description |
Type |
Cardinality |
Values |
| Absent feature |
A feature that are not present | Text
| optional, repeating
0..* |
Free or coded text |
|
|
|
|
|
|
|
Visual analogue score
Duration