ARCHETYPE Procedure list (openEHR-EHR-COMPOSITION.procedure_list.v0)

ARCHETYPE IDopenEHR-EHR-COMPOSITION.procedure_list.v0
ConceptProcedure list
DescriptionA persistent and managed list of procedures performed on the subject that may influence clinical decision-making and care provision.
UseUse to record a persistent and managed list of procedures performed on the subject. In order for this list to be accurate and safe to use as the basis for decision support activities and for exchange, this list should ideally be curated by a clinician responsible for the health record, rather than managed automatically by the clinical system through business rules alone. This archetype is usually managed as a persistent list, however there are situations where the list may be used within episodic care and require additional attributes such as context etc to enable accurate recording. The openEHR reference model currently only allows context to be recorded within Event-based COMPOSITION archetypes. As a result, this archetype has been modelled as an Event, rather than Persistent, COMPOSITION, to allow for flexibility so that some clinical systems can safely manage Procedure Lists for episodes of care, while others will choose to implement this COMPOSITION to act in a persistent manner.
PurposeTo record a persistent and managed list of all procedures performed on the subject which may contribute to or influence clinical decision-making and care provision.
ReferencesDerived from: <Add reference to original resource here>
Copyright© Clinical Models UK
AuthorsAuthor name: Hildegard McNicoll
Organisation: freshEHR Clinical Informatics Ltd.
Email: hildi@freshehr.com
Date originally authored: 2018-03-30
Other Details LanguageAuthor name: Hildegard McNicoll
Organisation: freshEHR Clinical Informatics Ltd.
Email: hildi@freshehr.com
Date originally authored: 2018-03-30
OtherDetails Language Independent{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/., custodian_organisation=UK Clinical Models, references=Derived from: , current_contact=Hildegard McNicoll freshEHR Clinical Informatics Ltd., original_namespace=uk.org.clinicalmodels, original_publisher=UK Clinical Models, custodian_namespace=uk.org.clinicalmodels, MD5-CAM-1.0.1=204DF39E7926CCFBC0F4008E3FB749C4, build_uid=39aca099-076b-4125-982c-c9034d07011b, revision=0.0.1-alpha}
Keywordsoperation, procedure, surgery
Lifecyclein_development
UID0bc23421-daa9-4d47-a751-21a525f01c14
Language useden
Citeable Identifier1051.32.783
Revision Number0.0.1-alpha
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Portuguese (Brazil): Vladimir Pizzo, Hospital Sirio Libanes, Brazil, vladimir.pizzo@hsl.org.br
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