ARCHETYPE ID | openEHR-EHR-SECTION.procedures_rcp.v1 |
Concept | Procedures |
Description | Procedures heading (AoMRC). |
Purpose | To 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. |
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] |
Copyright | © Clinical Models UK |
Authors | Author name: Ian McNicoll Organisation: freshEHR Clinical Informatics, UK Email: ian@freshehr.com Date originally authored: 2014-07-24 |
Other Details Language | Author 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 | |
Lifecycle | 0 |
Language used | en |
Citeable Identifier | 1051.32.259 |
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