ARCHETYPE Procedures (openEHR-EHR-SECTION.procedures_rcp.v1)

ARCHETYPE IDopenEHR-EHR-SECTION.procedures_rcp.v1
ConceptProcedures
DescriptionProcedures heading (AoMRC).
PurposeTo organise Procedures details within a standardised record heading as recommended by the UK Academy of Royal Colleges (AoMRC). Suggested 'subheading' content includes ... Procedure: The therapeutic procedure performed. This could include site and must include laterality where applicable. Complications related to procedure: Details of any intra-operative complications encountered during the procedure, arising during the patient’s stay in the recovery unit or directly attributable to the procedure. The intent is to be plain text and/ or images but use codes wherever possible. Specific anaesthesia issues: Details of any adverse reaction to any anaesthetic agents including local anaesthesia. Problematic intubation, transfusion reaction, etc.
ReferencesHealth and Social Care Information Centre, Academy of Medical Royal Colleges (2013) Standards for the Clinical Structure and Content of Patient Records. HSCIC, Leeds.
Available from: https://www.rcplondon.ac.uk/sites/default/files/standards-for-the-clinical-structure-and-content-of-patient-records.pdf [Accessed July 22, 2014]
Copyright© Clinical Models UK
AuthorsAuthor name: Ian McNicoll
Organisation: freshEHR Clinical Informatics, UK
Email: ian@freshehr.com
Date originally authored: 2014-07-24
Other Details LanguageAuthor name: Ian McNicoll
Organisation: freshEHR Clinical Informatics, UK
Email: ian@freshehr.com
Date originally authored: 2014-07-24
OtherDetails Language Independent{references=Health and Social Care Information Centre, Academy of Medical Royal Colleges (2013) Standards for the Clinical Structure and Content of Patient Records. HSCIC, Leeds. Available from: https://www.rcplondon.ac.uk/sites/default/files/standards-for-the-clinical-structure-and-content-of-patient-records.pdf [Accessed July 22, 2014], MD5-CAM-1.0.1=77530BD1AE5D2F25431190EC9984A04C}
Keywords
Lifecycle0
Language useden
Citeable Identifier1051.32.259
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