From: Design of an extensive information representation scheme for clinical narratives
Attribute type | Definition | Involved entities | Involved relation(s) | Examples |
---|---|---|---|---|
Aspect | A phrase that represents a change or an evolution (movements of object are not covered) | All entities | Start Stop StartAgain Continue Increase Decrease Improve Worsen | started on; interrupted; relapse; continued; increase in; decreased |
Assertion | A phrase indicating a statement of fact or possibility regarding an entity | All entities and Aspect, Measurement and Localization | Negation Presence Possible SubjectTo- Condition | no; presence of; suspected; in case of |
Localization | Precise area where an entity is located (e.g. body side) | All entities | Localiza- tion_of | left; bilateral |
Measurement | A figure, extent, attribute or amount obtained by measuring or observing, including subjective qualifications. Two subtypes: Quantitative and Qualitative | All entities | Measure_of | 3 cm; normal |
PersonType | Person entity type; the predefined options are Patient, PatientFamily, HealthProfessional, Donor and Other | Persons | Experiences | Dr. Colin |
DocTime | Temporal data of an annotated event with regard to the moment when the document was authored; the predefined options are Before, After, Overlap and Before_Overlap | Events | opération de 1984 [Before] | |
TemporalType | Type of temporal expression; the predefined options are Date, Time, Duration and Frequency | Temporal | Temporal relations | 1981, deux fois par jour |
Medication attributes | ||||
Administration Route | Route or method of administering a medication | Chemicals/ Drugs | HasAdminis-trationRoute | oral; IV |
Dosage | How many of each drug the patient is taking | Chemicals/ Drugs | HasDosage | 3 tablets; two puffs |
DrugForm | Form of a medication | Chemicals/ Drugs | HasDrugForm | tablet; cream |
Strength | Strength number and unit of a prescribed drug | Chemicals/ Drugs | HasStrength | 10 mg; 5 mg/ml |