Property Name | Type and Description | Existence | Cardinality |
---|---|---|---|
associatedEntry |
List<ClinicalStatementAssociation>
This attribute is used to relate a clinical finding to another clinical statement in the patient's record.
|
0..1
| 0..*
|
dueTo |
List<Concept>
The cause of the Clinical finding. This includes such causes as disease vectors and endogenous states (e.g., macular degeneration due to diabetes). Exogenous substances and forces should be captured as causative agent.
|
0..1
| 0..*
|
severity |
Concept
Intensity of a symptom or condition. The criteria for this value differ by condition.
|
0..1
| N/A
|
clinicalCourse |
Concept
Both the course and onset of a disease. Many conditions with an acute (sudden) onset also have an acute (short duration) course. Few diseases with a chronic (long - term) course would need to have their onset sub-divided into rapid or gradual subtypes, and thus there is no clear need for separating the rapidity of onset from the duration of a disease; based on testing by implementers and modelers, a single attribute with values that combine these meanings has clearly been more reproducible
and useful than two attributes that attempt to separate the meanings.
|
0..1
| N/A
|
episodicity |
Concept
TO DISCUSS: Do we need this? (STAN)
|EPISODICITY| is used to represent episodes of care provided by a physician or other care provider, typically a general practitioner, not episodes of disease experienced by the patient. See EPISODICITY no longer modeled in active content (7.1), regarding the origin of the attribute. For example, asthma with |EPISODICITY|=|
first episode | represents the first time the patient presents to their health care provider with asthma. EPISODICITY is not used to model any concepts pre-coordinated in the International Release but it can still be used in post-coordination as a qualifier.
|
0..1
| N/A
|
diseasePhase |
Concept
The physiological state of a condition that develops over time. For instance, Incubation period (exposed, asymptomatic), Prodromal (symptoms but not full disease breakout), Acute (full manifestation of disease), Convalescent.
|
0..1
| N/A
|
associatedSignAndSymptom |
List<Concept>
Physical observations captured by a clinician or subjective conditions experienced by a patient that are related to a medical condition.
|
0..1
| 0..*
|
periodicity |
List<Concept>
The length of time from one occurrence to the next (e.g., intermittent, weekly, continuous).
|
0..1
| 0..*
|
alleviatingFactor |
List<Concept>
An action or intervention which makes a symptom less severe. Examples of data from the value set may include: rest, heat, ice, etc...
|
0..1
| 0..*
|
exacerbatingFactor |
List<Concept>
An action or intervention which makes a symptom more severe.
|
0..1
| 0..*
|
suspectedEntity |
Entity
Substance, medication, microorganism, force, or other agent that resulted in this assertion.
|
0..1
| N/A
|
dateAsserted
,
verificationStatus
,
findingMethod
,
clinicalStatus
result
,
description
,
multimedia
,
interpretation
key
archetype_node_id
,
name
,
archetype_details