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Overview of ClinicalCore

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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.