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March 8, 2019 07:43
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openEHR-EHR-EVALUATION.problem_diagnosis-sus.v1.adl
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archetype (adl_version=1.4) | |
openEHR-EHR-EVALUATION.problem_diagnosis-sus.v1 | |
specialize | |
openEHR-EHR-EVALUATION.problem_diagnosis.v1 | |
concept | |
[at0000.1] -- Problema | |
language | |
original_language = <[ISO_639-1::en]> | |
translations = < | |
["pt-br"] = < | |
language = <[ISO_639-1::pt-br]> | |
author = < | |
["organisation"] = <"P2D"> | |
["name"] = <"Sergio Miranda Freire"> | |
["email"] = <"sergio@lampada.uerj.br"> | |
> | |
> | |
> | |
description | |
original_author = < | |
["name"] = <"Sergio Miranda Freire"> | |
["organisation"] = <"Universidade do Estado do Rio de Janeiro"> | |
["email"] = <"sergio@lampada.uerj.br"> | |
["date"] = <"2013-03-06"> | |
> | |
details = < | |
["en"] = < | |
language = <[ISO_639-1::en]> | |
purpose = <"To register some variables used in the Brazilian Health Care System. Archetype should be used only for research use."> | |
keywords = <""> | |
misuse = <""> | |
copyright = <""> | |
> | |
["pt-br"] = < | |
language = <[ISO_639-1::pt-br]> | |
purpose = <"Para registrar algumas variáveis usadas no Sistema Único de Saúde do Brasil. Arquétipo para finalidades de pesquisa somente."> | |
keywords = <""> | |
misuse = <""> | |
copyright = <""> | |
> | |
> | |
lifecycle_state = <"AuthorDraft"> | |
other_contributors = <""> | |
other_details = <> | |
definition | |
EVALUATION[at0000.1] matches { -- Problema | |
data matches { | |
ITEM_TREE[at0001] matches { -- estrutura | |
items cardinality matches {1..*; ordered} matches { | |
ELEMENT[at0002.1] matches { -- ! - Problema | |
value matches { | |
DV_CODED_TEXT matches { | |
defining_code matches {[ac0.3]} -- código do diagnóstico primário | |
} | |
} | |
} | |
ELEMENT[at0.1] occurrences matches {0..1} matches { -- Diagnóstico secundário | |
value matches { | |
DV_CODED_TEXT matches { | |
defining_code matches {[ac0.1]} -- código do diagnóstico secundário | |
} | |
} | |
} | |
ELEMENT[at0.2] occurrences matches {0..1} matches { -- Causas associadas | |
value matches { | |
DV_CODED_TEXT matches { | |
defining_code matches {[ac0.2]} -- código das causas associadas | |
} | |
} | |
} | |
ELEMENT[at0.3] occurrences matches {0..1} matches { -- Metástase | |
value matches { | |
DV_BOOLEAN matches { | |
value matches {True, False} | |
} | |
} | |
} | |
ELEMENT[at0.4] occurrences matches {0..1} matches { -- Linfonodos regionais invadidos | |
value matches { | |
DV_BOOLEAN matches { | |
value matches {True, False} | |
} | |
} | |
} | |
ELEMENT[at0009] occurrences matches {0..1} matches { -- Descrição Clinica | |
value matches { | |
DV_TEXT matches {*} | |
} | |
} | |
ELEMENT[at0005] occurrences matches {0..1} matches { -- Gravidade | |
value matches { | |
DV_CODED_TEXT matches { | |
defining_code matches {[local::]} | |
} | |
} | |
} | |
ELEMENT[at0003] occurrences matches {0..1} matches { -- Data de começo inicial | |
value matches { | |
DV_DATE_TIME matches { | |
value matches {yyyy-mm-ddTHH:MM:SS} | |
} | |
} | |
} | |
ELEMENT[at0004] occurrences matches {0..1} matches { -- A idade de começo inicial | |
value matches { | |
DV_DURATION matches {*} | |
} | |
} | |
ELEMENT[at0012] occurrences matches {0..1} matches { -- Local do corpo | |
value matches { | |
DV_TEXT matches {*} | |
} | |
} | |
allow_archetype CLUSTER[at0039] occurrences matches {0..1} matches { -- localização anatômica | |
include | |
archetype_id/value matches {/openEHR-EHR-CLUSTER\.anatomical_location(-[a-zA-Z0-9_]+)*\.v1/} | |
} | |
CLUSTER[at0018] occurrences matches {0..1} matches { -- Ocorrências ou exacerbações | |
items cardinality matches {1..*; ordered} matches { | |
ELEMENT[at0019] occurrences matches {0..1} matches { -- Frequência de recorrência | |
value matches { | |
C_DV_QUANTITY < | |
property = <[openehr::382]> | |
list = < | |
["1"] = < | |
units = <"/min"> | |
> | |
["2"] = < | |
units = <"/h"> | |
magnitude = <|>=0.0|> | |
> | |
["3"] = < | |
units = <"/d"> | |
magnitude = <|>=0.0|> | |
> | |
["4"] = < | |
units = <"/wk"> | |
magnitude = <|>=0.0|> | |
> | |
["5"] = < | |
units = <"/mo"> | |
magnitude = <|>=0.0|> | |
> | |
["6"] = < | |
units = <"/yr"> | |
magnitude = <|>=0.0|> | |
> | |
> | |
> | |
} | |
} | |
ELEMENT[at0020] occurrences matches {0..1} matches { -- Data da última ocorrência | |
value matches { | |
DV_DATE_TIME matches { | |
value matches {yyyy-mm-ddTHH:MM:SS} | |
} | |
} | |
} | |
ELEMENT[at0025] occurrences matches {0..1} matches { -- Número de ocorrências | |
value matches { | |
DV_COUNT matches { | |
magnitude matches {|>=1|} | |
} | |
} | |
} | |
ELEMENT[at0022] occurrences matches {0..1} matches { -- Descrição clínica | |
value matches { | |
DV_TEXT matches {*} | |
} | |
} | |
} | |
} | |
CLUSTER[at0027] occurrences matches {0..*} matches { -- Problema relacionado | |
items cardinality matches {1..*; unordered} matches { | |
ELEMENT[at0029] occurrences matches {0..1} matches { -- Descrição clínica | |
value matches { | |
DV_CODED_TEXT matches { | |
defining_code matches { | |
[local:: | |
at0040, -- *Caused by(en) | |
at0041] -- *Following(en) | |
} | |
} | |
} | |
} | |
ELEMENT[at0028] occurrences matches {0..1} matches { -- Problema relacionado | |
value matches { | |
DV_TEXT matches {*} | |
DV_URI matches {*} | |
} | |
} | |
ELEMENT[at0044] occurrences matches {0..1} matches { -- *New element(en) | |
value matches { | |
DV_TEXT matches {*} | |
} | |
} | |
} | |
} | |
ELEMENT[at0030] occurrences matches {0..1} matches { -- Data da resolução | |
value matches { | |
DV_DATE matches {*} | |
} | |
} | |
ELEMENT[at0031] occurrences matches {0..1} matches { -- Idade na resolução | |
value matches { | |
DV_DURATION matches {*} | |
} | |
} | |
allow_archetype CLUSTER[at0042] occurrences matches {0..1} matches { -- *Cluster(en) | |
include | |
archetype_id/value matches {/.*/} | |
} | |
allow_archetype CLUSTER[at0043.1] occurrences matches {0..*} matches { -- ! - Staging | |
include | |
archetype_id/value matches {/.*/} | |
exclude | |
archetype_id/value matches {/openEHR-EHR-CLUSTER\.tnm_staging-sus(-[a-zA-Z0-9_]+)*\.v1|openEHR-EHR-CLUSTER\.tnm_staging(-[a-zA-Z0-9_]+)*\.v1/} | |
} | |
} | |
} | |
} | |
protocol matches { | |
ITEM_TREE[at0032] matches { -- Árvore | |
items cardinality matches {0..*; unordered} matches { | |
ELEMENT[at0035] occurrences matches {0..*} matches { -- Web link | |
value matches { | |
DV_EHR_URI matches {*} | |
} | |
} | |
allow_archetype CLUSTER[at0046] occurrences matches {0..*} matches { | |
include | |
archetype_id/value matches {/.*/} | |
} | |
} | |
} | |
} | |
} | |
ontology | |
term_definitions = < | |
["en"] = < | |
items = < | |
["at0.1"] = < | |
text = <"Secondary Diagnosis"> | |
description = <"Secondary Diagnosis"> | |
> | |
["at0.2"] = < | |
text = <"Associated causes"> | |
description = <"Associated causes"> | |
> | |
["at0.3"] = < | |
text = <"Metastasis"> | |
description = <"Metastasis"> | |
> | |
["at0.4"] = < | |
text = <"Invaded regional linphonodes"> | |
description = <"Invaded regional linphonodes"> | |
> | |
["at0000.1"] = < | |
text = <"Problem/Diagnosis"> | |
description = <"An issue or obstacle which adversely impacts on the physical, mental and/or social well-being of an individual. The definition of a problem is deliberately kept rather loose and inclusive of a formal biomedical diagnosis so as to capture any real or perceived concerns that may adversely affect an individual's wellbeing to any degree."> | |
> | |
["at0001"] = < | |
text = <"structure"> | |
description = <""> | |
> | |
["at0002"] = < | |
text = <"Problem/Diagnosis"> | |
description = <"Identification of the index problem, issue or diagnosis."> | |
> | |
["at0002.1"] = < | |
text = <"Problem"> | |
description = <"Identification of the problem"> | |
> | |
["at0003"] = < | |
text = <"Date of Onset"> | |
description = <"The date / time when the problem was first identified by the individual."> | |
> | |
["at0004"] = < | |
text = <"Age at Onset"> | |
description = <"The age of the individual when the problem was first identified by the individual."> | |
> | |
["at0005"] = < | |
description = <"The assessed overall severity of the index problem."> | |
text = <"Severity"> | |
comment = <" Coding of the severity with a terminology is preferred, where possible."> | |
> | |
["at0009"] = < | |
text = <"Description"> | |
description = <"A narrative description of the issue, problem or diagnosis."> | |
> | |
["at0012"] = < | |
text = <"Body Site"> | |
description = <"The body site affected."> | |
> | |
["at0018"] = < | |
text = <"Previous Occurrences"> | |
description = <"Grouping of information about individual occurrences or exacerbations."> | |
> | |
["at0019"] = < | |
text = <"Frequency"> | |
description = <"The frequency of individual occurrences of the problem."> | |
> | |
["at0020"] = < | |
text = <"Date of last Occurrence"> | |
description = <"The date / time of the last occurrence of the problem."> | |
> | |
["at0022"] = < | |
text = <"Description"> | |
description = <"A description of the exacerbation or occurrence."> | |
> | |
["at0025"] = < | |
text = <"Number"> | |
description = <"Number of times this problem has occurred or been apparent."> | |
> | |
["at0027"] = < | |
text = <"Related Item"> | |
description = <"A group of characteristics of the problem complicating the index problem."> | |
> | |
["at0028"] = < | |
text = <"Item"> | |
description = <"Identification of a related problem as text,coded text or link within the EHR."> | |
> | |
["at0029"] = < | |
text = <"Relationship Type"> | |
description = <"The type of relationship that this problem/diagnosis has to the related item."> | |
> | |
["at0030"] = < | |
text = <"Date of Resolution"> | |
description = <"The date that the problem resolved or went into remission."> | |
> | |
["at0031"] = < | |
text = <"Age at Resolution"> | |
description = <"The age of the person at the resolution of the problem."> | |
> | |
["at0032"] = < | |
text = <"Tree"> | |
description = <"@ internal @"> | |
> | |
["at0035"] = < | |
text = <"Supporting clinical evidence"> | |
description = <"Useful information on the internet about this condition."> | |
> | |
["at0039"] = < | |
text = <"Body Site Details"> | |
description = <"Details of the body site concerned."> | |
> | |
["at0040"] = < | |
text = <"Caused by"> | |
description = <"This concept identifies the direct cause or causative agent of a Problem/Diagnosis. The concept includes the idea of ‘complications’, ‘causative agent’ and ‘due to’. Note: Where no causality or sequence of events is known, this relationship type should be left blank."> | |
> | |
["at0041"] = < | |
text = <"Following"> | |
description = <"This value identifies the sequence of events between the related items, but does not assert causality. This can be used for sequelae or late effects. Note: Where no causality or sequence of events is known, this relationship type should be left blank."> | |
> | |
["at0042"] = < | |
text = <"Diagnostic Criteria"> | |
description = <"The criteria on which the problem/diagnosis is based."> | |
> | |
["at0043"] = < | |
text = <"Clinical Stage/Grade"> | |
description = <"Clinical stage or grade of a problem/diagnosis. Note: May include formal severity assessments."> | |
> | |
["at0043.1"] = < | |
text = <"Staging"> | |
description = <""> | |
> | |
["at0044"] = < | |
text = <"Description"> | |
description = <"A narrative description of the related item."> | |
> | |
["at0046"] = < | |
text = <"Status"> | |
description = <"Descriptor for context- or use-case specific label or workflow-related aspect of the diagnostic process which may not be safe to exchange between systems or use in a shared environment. Examples include: active/inactive; primary/secondary; preliminary/provisional/working/final."> | |
> | |
> | |
> | |
["pt-br"] = < | |
items = < | |
["at0.1"] = < | |
text = <"Diagnóstico secundário"> | |
description = <"*"> | |
> | |
["at0.2"] = < | |
text = <"Causas associadas"> | |
description = <"*"> | |
> | |
["at0.3"] = < | |
text = <"Metástase"> | |
description = <"*"> | |
> | |
["at0.4"] = < | |
text = <"Linfonodos regionais invadidos"> | |
description = <"*"> | |
> | |
["at0000.1"] = < | |
text = <"Problema"> | |
description = <"Um caso ou obstáculo que tenha impactos sobre o bem estar físico, mental e/ou social de um indivíduo"> | |
> | |
["at0001"] = < | |
text = <"Estrutura"> | |
description = <"@ internal @"> | |
> | |
["at0002"] = < | |
text = <"Problema"> | |
description = <"Identificação dos indicadores do problema"> | |
> | |
["at0002.1"] = < | |
text = <"Problema"> | |
description = <"Identificação dos indicadores do problema"> | |
> | |
["at0003"] = < | |
text = <"Data de começo inicial"> | |
description = <"A data de quando o problema foi identificado pela primeira vez pelo indivíduo."> | |
> | |
["at0004"] = < | |
text = <"A idade de começo inicial"> | |
description = <"A idade do indivíduo quando o problema foi identificado pela primeira vez pelo indivíduo."> | |
> | |
["at0005"] = < | |
text = <"Gravidade"> | |
description = <"A avaliação global da gravidade dos indicadores problema."> | |
> | |
["at0009"] = < | |
text = <"Descrição Clinica"> | |
description = <"Descrição dos aspectos clínicos do problema."> | |
> | |
["at0012"] = < | |
text = <"Local do corpo"> | |
description = <"O local do corpo afetado."> | |
> | |
["at0018"] = < | |
text = <"Ocorrências ou exacerbações"> | |
description = <"Agrupamento de informações sobre ocorrências individuais ou exacerbações."> | |
> | |
["at0019"] = < | |
text = <"Frequência de recorrência"> | |
description = <"A frequência de ocorrências individuais do problema."> | |
> | |
["at0020"] = < | |
text = <"Data da última ocorrência"> | |
description = <"A data da última ocorrência do problema."> | |
> | |
["at0022"] = < | |
text = <"Descrição clínica"> | |
description = <"Uma descrição da exacerbação ou ocorrência."> | |
> | |
["at0025"] = < | |
text = <"Número de ocorrências"> | |
description = <"Número de vezes que este problema ocorreu ou foi aparente."> | |
> | |
["at0027"] = < | |
text = <"Problema relacionado"> | |
description = <"Um grupo de características do problema complicando os indicadores do problema."> | |
> | |
["at0028"] = < | |
text = <"Problema relacionado"> | |
description = <"dentificação textual de um problema relacionado, texto codificado ou link dentro do RES."> | |
> | |
["at0029"] = < | |
text = <"Descrição clínica"> | |
description = <"Decription do problema relacionado."> | |
> | |
["at0030"] = < | |
text = <"Data da resolução"> | |
description = <"A data em que o problema resolvido ou entrou em remissão."> | |
> | |
["at0031"] = < | |
text = <"Idade na resolução"> | |
description = <"A idade da pessoa com a resolução do problema."> | |
> | |
["at0032"] = < | |
text = <"Árvore"> | |
description = <"@ internal @"> | |
> | |
["at0035"] = < | |
text = <"Web link"> | |
description = <"Informações úteis na internet sobre essa condição."> | |
> | |
["at0039"] = < | |
text = <"Localização anatômica"> | |
description = <""> | |
> | |
["at0040"] = < | |
text = <"Causado por"> | |
description = <"*This concept identifies the direct cause or causative agent of a Problem/Diagnosis. The concept includes the idea of ‘complications’, ‘causative agent’ and ‘due to’. Note: Where no causality or sequence of events is known, this relationship type should be left blank.(en)"> | |
> | |
["at0041"] = < | |
text = <"Seguinte"> | |
description = <"*his value identifies the sequence of events between the related items, but does not assert causality. This can be used for sequelae or late effects. Note: Where no causality or sequence of events is known, this relationship type should be left blank.(en)"> | |
> | |
["at0042"] = < | |
text = <"Critério diagnóstico"> | |
description = <""> | |
> | |
["at0043"] = < | |
text = <"Estágio/Gradação Clínica"> | |
description = <""> | |
> | |
["at0043.1"] = < | |
text = <"Estadiamento"> | |
description = <""> | |
> | |
["at0044"] = < | |
text = <"Descrição"> | |
description = <""> | |
> | |
["at0046"] = < | |
text = <"Status"> | |
description = <""> | |
> | |
> | |
> | |
> | |
constraint_definitions = < | |
["en"] = < | |
items = < | |
["ac0.1"] = < | |
text = <"code for the secondary diagnosis"> | |
description = <"code for the secondary diagnosis"> | |
> | |
["ac0.2"] = < | |
text = <"code for the associated causes"> | |
description = <"code for the associated causes"> | |
> | |
["ac0.3"] = < | |
text = <"code for the problem/diagnosis"> | |
description = <"code for the problem/diagnosis"> | |
> | |
> | |
> | |
["pt-br"] = < | |
items = < | |
["ac0.1"] = < | |
text = <"código do diagnóstico secundário"> | |
description = <"código do diagnóstico secundário"> | |
> | |
["ac0.2"] = < | |
text = <"código das causas associadas"> | |
description = <"código das causas associadas"> | |
> | |
["ac0.3"] = < | |
text = <"código do diagnóstico primário"> | |
description = <"código do diagnóstico primário"> | |
> | |
> | |
> | |
> |
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