Overview of ClinicalCore
CDM standard entities for 'ClinicalCore'
Entities
Name | Description |
---|---|
AllergyIntolerance | Risk of harmful or undesirable, physiological response which is unique to an individual and associated with exposure to a substance. |
ClinicalImpression | A record of a clinical assessment performed to determine what problem(s) may affect the patient and before planning the treatments or management strategies that are best to manage a patient condition |
ClinicalImpressionAction | Action taken as part of assessment procedure. |
ClinicalImpressionFinding | Specific findings or diagnoses that was considered likely or relevant to ongoing treatment. |
ClinicalImpressionInvestigation | One or more sets of investigations (signs, etc.). The actual grouping of investigations vary greatly depending on the type and context of the assessment. |
ClinicalImpressionInvestigationItem | A record of a specific investigation that was undertaken. |
ClinicalImpressionProblem | This a list of the relevant problems/conditions for a patient. |
ClinicalImpressionPrognosis | Estimate of likely outcome. |
ClinicalImpressionProtocol | Reference to a specific published clinical protocol that was followed during this assessment, and/or that provides evidence in support of the diagnosis. |
ConditionBodySite | The anatomical location where this condition manifests itself. |
ConditionCategory | A category assigned to the condition. |
ConditionEvidence | Supporting Evidence / manifestations that are the basis on which this condition is suspected or confirmed. |
ConditionStage | Clinical stage or grade of a condition. May include formal severity assessments. |
FamilyMemberHistory | Significant health events and conditions for a person related to the patient relevant in the context of care for the patient. |
FamilyMemberHistoryCondition | The significant Conditions (or condition) that the family member had. |
FamilyMemberHistoryDefinition | A protocol or questionnaire that was adhered to in whole or in part by this event. |
FamilyMemberHistoryReason | Describes why the family member history occurred in coded or textual form. |
FamilyMemberHistoryReasonReference | Indicates a Condition, Observation, Allergy Intolerance, or Questionnaire Response that justifies this family member history event. |
GoalAddresses | The identified conditions and other health record elements that are intended to be addressed by the goal. |
GoalCategory | Indicates a category the goal falls within. |
GoalOutcome | Identifies the change (or lack of change) at the point when the status of the goal is assessed. |
GoalOutcomeReference | Details of what's changed (or not changed). |
RiskAssessment | An assessment of the likely outcome(s) for a patient or other subject as well as the likelihood of each outcome. |
RiskAssessmentBasis | Indicates the source data considered as part of the assessment (Family History, Observations, Procedures, Conditions, etc.). |
RiskAssessmentPrediction | Describes the expected outcome for the subject. |