ARCHETYPE Clinical procedure undertaken (openEHR-EHR-ACTION.clinical_procedure.v1)

ARCHETYPE IDopenEHR-EHR-ACTION.clinical_procedure.v1
ConceptClinical procedure undertaken
DescriptionTo record any non-operative procedure undertaken. Normally carried out in a clinic or ward setting and may be for therapeutic or diagnostic purposes.
Purpose
References
AuthorsIme avtorja: Dr Ian McNicoll
Organizacija: Ocean Informatics, United Kingdom
e-Pošta: ian.mcnicoll@oceaninformatics.com
Datum izvora: 03/12/2009
Other Details LanguageIme avtorja: Dr Ian McNicoll
Organizacija: Ocean Informatics, United Kingdom
e-Pošta: ian.mcnicoll@oceaninformatics.com
Datum izvora: 03/12/2009
OtherDetails Language Independent{MD5-CAM-1.0.1=D64FDFC8188D1C038EC51DB8086A9194}
Keywords
Lifecycle0
Language useden
Citeable Identifier1075.67.1239
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=To record any non-operative procedure undertaken. Normally carried out in a clinic or ward setting and may be for therapeutic or diagnostic purposes., archetypeConceptComment=null, otherContributors=, originalLanguage=en, translators=, subjectOfData=brez omejitev, archetypeTranslationTree=null, topLevelToAshis={source=[], state=[], description=[ResourceSimplifiedHierarchyItem [path=/description[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=2, text=Procedure, description=The name of the procedure., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Obvezno, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/description[at0001]/items[at0029], code=at0029, itemType=CLUSTER, level=2, text=Reasons for procedure, description=Reasons or indications for the procedure, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/description[at0001]/items[at0029]/items[at0014], code=at0014, itemType=ELEMENT, level=3, text=Reason for procedure, description=The reason or indication for the procedure, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Neobvezen, ponavljam, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/description[at0001]/items[at0003], code=at0003, itemType=SLOT, level=2, text=Procedure details, description=Detailed structure describing the procedure performed., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Neobvezen, ponavljam, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Vključi:
Vsi neizrecno izključeni arhetipi, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/description[at0001]/items[at0030], code=at0030, itemType=CLUSTER, level=2, text=Additional tasks, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/description[at0001]/items[at0030]/items[at0031], code=at0031, itemType=ELEMENT, level=3, text=Additional task, description=An additional related taks that was performed . This will normally be another action but may be an instruction e.g On removal of a catheter, tip sent for microbiology., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Neobvezen, ponavljam, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/description[at0001]/items[at0030]/items[at0032], code=at0032, itemType=ELEMENT, level=3, text=Record of additional task, description=Link to a record of the additional task., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Neobvezen, ponavljam, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_EHR_URI, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/description[at0001]/items[at0004], code=at0004, itemType=ELEMENT, level=2, text=Procedure unsuccessful, description=Was the procedure ultimately unsuccessful?, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=Dovoljene vrednosti: {true}, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/description[at0001]/items[at0018], code=at0018, itemType=ELEMENT, level=2, text=Failed attempts, description=The number of failed attempts to perform the procedure., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/description[at0001]/items[at0016], code=at0016, itemType=CLUSTER, level=2, text=Unplanned events, description=One or more unplanned events., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/description[at0001]/items[at0016]/items[at0015], code=at0015, itemType=ELEMENT, level=3, text=Unplanned event, description=An unplanned event prior to or related to the procedure, which may affect its execution e.g patient self-removed cannula., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Neobvezen, ponavljam, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/description[at0001]/items[at0016]/items[at0033], code=at0033, itemType=ELEMENT, level=3, text=Record of unplanned event, description=Link to a record of an unplanned event., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Neobvezen, ponavljam, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_URI, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/description[at0001]/items[at0027], code=at0027, itemType=CLUSTER, level=2, text=Complications, description=Complications arising from the procedure., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/description[at0001]/items[at0027]/items[at0006], code=at0006, itemType=ELEMENT, level=3, text=Complication, description=Complication arising from the procedure., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Neobvezen, ponavljam, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/description[at0001]/items[at0027]/items[at0028], code=at0028, itemType=ELEMENT, level=3, text=Record of complication, description=A link to a structured record e.g a diagnosis or problem describing the complication., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Neobvezen, ponavljam, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_EHR_URI, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/description[at0001]/items[at0005], code=at0005, itemType=ELEMENT, level=2, text=Comments, description=Commetns about the procedure., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Neobvezen, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/description[at0001]/items[at0013], code=at0013, itemType=ELEMENT, level=2, text=Image, description=Images of the procedure., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Neobvezen, ponavljam, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_MULTIMEDIA, bindings=null, values=, extendedValues=null]], content=[], provider=[], ism_transition=[ResourceSimplifiedHierarchyItem [path=/ism_transition_524_at0034, code=null, itemType=ISM_TRANSITION, level=1, text=Procedure request initiated, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ISM_TRANSITION, bindings=null, values=Trenutno stanje: initial, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/ism_transition_524_at0035, code=null, itemType=ISM_TRANSITION, level=1, text=Procedure request sent, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ISM_TRANSITION, bindings=null, values=Trenutno stanje: initial, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/ism_transition_527_at0038, code=null, itemType=ISM_TRANSITION, level=1, text=Procedure request postponed, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ISM_TRANSITION, bindings=null, values=Trenutno stanje: postponed, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/ism_transition_528_at0039, code=null, itemType=ISM_TRANSITION, level=1, text=Procedure request cancelled, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ISM_TRANSITION, bindings=null, values=Trenutno stanje: cancelled, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/ism_transition_529_at0036, code=null, itemType=ISM_TRANSITION, level=1, text=Procedure scheduled, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ISM_TRANSITION, bindings=null, values=Trenutno stanje: scheduled, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/ism_transition_245_at0047, code=null, itemType=ISM_TRANSITION, level=1, text=Procedure initiated, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ISM_TRANSITION, bindings=null, values=Trenutno stanje: active, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/ism_transition_530_at0040, code=null, itemType=ISM_TRANSITION, level=1, text=Procedure suspended, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ISM_TRANSITION, bindings=null, values=Trenutno stanje: suspended, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/ism_transition_531_at0041, code=null, itemType=ISM_TRANSITION, level=1, text=Procedure aborted, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ISM_TRANSITION, bindings=null, values=Trenutno stanje: aborted, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/ism_transition_532_at0043, code=null, itemType=ISM_TRANSITION, level=1, text=Procedure completed, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ISM_TRANSITION, bindings=null, values=Trenutno stanje: completed, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/ism_transition_532_at0044, code=null, itemType=ISM_TRANSITION, level=1, text=Report authored, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ISM_TRANSITION, bindings=null, values=Trenutno stanje: completed, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/ism_transition_532_at0045, code=null, itemType=ISM_TRANSITION, level=1, text=Report attested, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ISM_TRANSITION, bindings=null, values=Trenutno stanje: completed, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/ism_transition_532_at0046, code=null, itemType=ISM_TRANSITION, level=1, text=Report sent, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ISM_TRANSITION, bindings=null, values=Trenutno stanje: completed, extendedValues=null]], events=[], details=[], identities=[], contacts=[], activities=[], relationships=[], context=[], capabilities=[], other_participations=[ResourceSimplifiedHierarchyItem [path=/other_participations, code=null, itemType=PARTICIPATION, level=1, text=, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Neobvezen, ponavljam, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=PARTICIPATION, bindings=null, values=Funkcija:
 Šifriran tekst
  • Procedure performer [*]
  • Assistant [Person assisting the main performer]

Način:
 Šifriran tekst
  • face-to-face communication
, extendedValues=null]], data=[], credentials=[], items=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0010]/items[at0048], code=at0048, itemType=SLOT, level=2, text=Process support, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Neobvezen, ponavljam, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Vključi:
Vsi neizrecno izključeni arhetipi, extendedValues=null]], target=[]}, topLevelItems={other_participations=ResourceSimplifiedHierarchyItem [path=ROOT_/other_participations, code=null, itemType=PARTICIPATION, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=0..*, cardinalityText=Minimum of 0 items, subCardinalityFormal=null, subCardinalityText=null, dataType=PARTICIPATION, bindings=null, values=null, extendedValues=null], description=ResourceSimplifiedHierarchyItem [path=ROOT_/description[at0001], code=at0001, itemType=ITEM_TREE, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Obvezno, cardinalityFormal=0..1, cardinalityText=neobvezen, subCardinalityFormal=1..*, subCardinalityText=, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], protocol=ResourceSimplifiedHierarchyItem [path=ROOT_/protocol[at0010], code=at0010, itemType=ITEM_TREE, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Obvezno, cardinalityFormal=0..1, cardinalityText=neobvezen, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], ism_transition=ResourceSimplifiedHierarchyItem [path=ROOT_/ism_transition, code=null, itemType=ISM_TRANSITION, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=0..1, cardinalityText=neobvezen, subCardinalityFormal=null, subCardinalityText=null, dataType=ISM_TRANSITION, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=protocol, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/protocol[at0010]/items[at0048], code=at0048, itemType=SLOT, level=2, text=Process support, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Neobvezen, ponavljam, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Vključi:
Vsi neizrecno izključeni arhetipi, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]