| Property Name | Type and Description | Existence | Cardinality |
|---|---|---|---|
dueTo |
List<BaseClinicalStatement>
This attribute is used to relate a |Clinical finding| directly to its cause. If a clinical finding merely predisposes to or worsens another disorder, rather than causing it directly, then the more general attribute | ASSOCIATED WITH | is used instead.
|
0..1
| 0..*
|
causativeAgent |
List<CODED_TEXT>
An exogenous physical substance or force that causes the disease. It does not include vectors, e.g. a mosquito that transmits malaria. The range of this attribute can be found in the following SNOMED CT hierarchies:
| Organism | 410607006 (<<)
| Substance | 105590001 (<<)
| Physical object | 260787004 (<<)
| Physical force | 78621006 (<<)
| Pharmaceutical / biologic product | 373873005 (<< Q only)
| SNOMED CT Concept | 138875005 (==)
|
0..1
| 0..*
|
dueToCode |
List<CODED_TEXT>
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 |
CODED_TEXT
Intensity of a symptom or condition. The criteria for this value differ by condition.
|
0..1
| N/A
|
clinicalCourse |
CODED_TEXT
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 |
CODED_TEXT
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
|
interpretation |
List<Interpretation>
A clinical judgment concerning the significance of an observation. This attribute refers to the entity being evaluated or interpreted, when an evaluation, interpretation or “judgment” is intrinsic to the meaning of a concept. This attribute is usually grouped with the | HAS INTERPRETATION | attribute.
|
0..1
| 0..*
|
dateOfOnset |
DATE_TIME
Date or time when the characteristic was first observed.
When the asserted condition began manifesting. This property may have a broad precision (e.g., a year rather than a date).
|
0..1
| N/A
|
ageAtOnset |
QUANTITY
The age of the patient or subject at onset of the Condition. Note that this property could potentially be derived.
|
0..1
| N/A
|
dateAbated |
DATE_TIME
Date, if known, when clinical finding abated.
|
0..1
| N/A
|
hasAbated |
YESNO
Flag indicating whether a condition has abated when a specific date of, time period, or age at abatement is not known.
|
0..1
| N/A
|
clinicalStatus |
CODED_TEXT
The physiological state of the condition with respect to whether it is actually of concern. Values may typicall include: Active, Relapse, Remission, Resolved, Confirmed, Ruled out, Unknown.
|
0..1
| N/A
|
diseasePhase |
CODED_TEXT
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
|
associatedPrecondition |
List<CODED_TEXT>
Previously existing conditions or states that could affect a measurement or assesment. For example; a patients weight taken while clothed, a patients height with or without shoes, a patients blood pressure taken while standing or lying down.
|
0..1
| 0..*
|
associatedSignAndSymptom |
List<CODED_TEXT>
Physical observations captured by a clinician or subjective conditions experienced by a patient that are related to a medical condition.
|
0..1
| 0..*
|
alleviatingFactor |
List<CODED_TEXT>
An action or intervention which makes a symptom less severe. Examples of data from the value set may include: rest, heat, ice, etc.
[TO ADDRESS: we may need a semantic scope: are these substances or procedures? Procedures, with the assumption that if you put in a substance it means “application (procedure)”?
|
0..1
| 0..*
|
exacerbatingFactor |
List<CODED_TEXT>
An action or intervention which makes a symptom more severe.
|
0..1
| 0..*
|
periodicity |
List<CODED_TEXT>
The length of time from one occurrence to the next (e.g., intermittent, weekly, continuous).
|
0..1
| 0..*
|
diagnosisDate,
verificationStatus,
findingMethod
description,
multimedia
key,
code
archetype_node_id,
name,
archetype_details