| ARCHETYPE ID | openEHR-EHR-COMPOSITION.report-procedure.v1 |
|---|---|
| Concept | Informe |
| Description | Document per comunicar informació a altres persones, normalment en resposta a una sol·licitud procedent d'una altra banda. |
| Use | *Use as a generic procedure-related archetype to carry information about any stand-alone procedure or operation performed. It is anticipated that each COMPOSITION.report-procedure archetype will contain at least one ACTION.procedure (or related archetype) but depending on the complexity of the procedure it may contain a variety of other archetypes depending on the nature and complexity of the procedure performed. For example, archetypes to describe the associated anaesthetic or imaging activities carried out during the procedure. Common use cases are:
Record of the anaesthetic used to cover the procedure will be recorded using purpose-specific archetypes. They can be committed to the health record at the same time as the Procedure report, most likely in one of two ways:
The main Sections/Content component has been deliberately left unconstrained. This will allow it to be populated with any SECTION or ENTRY archetypes appropriate for the clinical purpose within a template. (en) |
| Purpose | Arquetip contenidor genèric usat per transmetre informació que s'ha de compartir amb altres. |
| References | |
| Authors | Nom de l'autor: Heather Leslie Organització: Ocean Informatics Correu electrònic: heather.leslie@oceaninformatics.com Data d'autor original: 2012-12-10 |
| Other Details Language | Nom de l'autor: Heather Leslie Organització: Ocean Informatics Correu electrònic: heather.leslie@oceaninformatics.com Data d'autor original: 2012-12-10 |
| Other Details (Language Independent) |
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| Keywords | informe |
| Lifecycle | published |
| UID | a8d1333d-63ef-4db0-958f-62643d0fa6c5 |
| Language used | ca |
| Citeable Identifier | 1380.146.261 |
| Revision Number | 1.1.0 |
| context | |
| ID de l'informe | ID de l'informe: Informació identificativa de l'informe. |
| Estat | Estat: L´estat de tot l´informe. Nota: No és l'estat de cap dels components de l'informe. *Multiple instances are allowed to represent different aspects or categories of status. (en) |
| Ampliació | Ampliació: *Additional information required to extend the model with local content or to align with other reference models or formalisms. (en) *For example: local information requirements; or additional metadata to align with FHIR. (en) Incloure: Tots arquetips no exclosos explícitament |
| *Comment (en) | *Comment (en): *A narrative statement concerning the diagnostic report as a whole. (en) *For example: justification for a change or cancellation, recommended time frame for action, or a recommendation to repeat the investigation. (en) |
| data | |
| Category | |
| null |
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| Other contributors | Vebjoern Arntzen, Oslo university hospital, Norway Silje Ljosland Bakke, Bergen Hospital Trust, Norway (openEHR Editor) Sistine Barretto-Daniels, Ocean Informatics, Australia Lars Bitsch-Larsen, Haukeland University hospital, Norway Heath Frankel, Ocean Informatics, Australia Heather Grain, Llewelyn Grain Informatics, Australia Sam Heard, Ocean Informatics, Australia Lars Karlsen, DIPS ASA, Norway Sabine Leh, Haukeland University Hospital, Department of Pathology, Norway Heather Leslie, Ocean Informatics, Australia (openEHR Editor) Hugh Leslie, Ocean Informatics, Australia Ian McNicoll, freshEHR Clinical Informatics, United Kingdom (openEHR Editor) Andrej Orel, Marand d.o.o., Slovenia Jussara Rotzsch, UNB, Brazil |
| Translators |
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