archetype (adl_version=1.4; uid=3f15bb8f-bd9b-4fcb-9d0a-9df3fe83ed9c)
	openEHR-EHR-ACTION.clinical_pathway.v0

concept
	[at0000]	-- Clinical pathway
language
	original_language = <[ISO_639-1::en]>
	translations = <
		["nb"] = <
			language = <[ISO_639-1::nb]>
			author = <
				["name"] = <"Bjørn Næss, Silje Ljosland Bakke">
				["organisation"] = <"DIPS ASA , Helse Vest IKT AS">
				["email"] = <"bna@dips.no, silje.ljosland.bakke@helse-vest-ikt.no">
			>
		>
	>
description
	original_author = <
		["name"] = <"Bjørn Næss">
		["organisation"] = <"DIPS ASA">
		["email"] = <"bna@dips.no">
		["date"] = <"2015-06-20">
	>
	details = <
		["nb"] = <
			language = <[ISO_639-1::nb]>
			purpose = <"For å registrere informasjon om et overordnet, standardisert klinisk forløp som utføres for å styre behandlingen av et problem eller en tilstand.">
			use = <"Brukes for å registrere informasjon om et overordnet, standardisert klinisk forløp som utføres for å styre behandlingen av et problem eller en tilstand.

Denne arketypen er laget for å registrere informasjon om gjennomføringen av et overordnet, standardisert klinisk forløp. Eksempler på forløp kan være:
- Kreftpakkeforløp som beskriver milepæler i løpet av en kreftbehandling, blant annet starten på pakkeforløpet, utredning start, utredning ferdig, behandling start, og pakkeforløp slutt.
- Pasientforløp for psykiske lidelser eller rusbehandling, som beskriver milepæler i utredning og behandling av psykiske lidelser eller ruslidelser.
- Standardiserte og overordnede kliniske forløp for alle typer medisinske eller kirurgiske behandlinger, for eksempel allergen immunterapi (AIT) eller elektiv hyperbar oksygenbehandling (HBOT).">
			keywords = <"forløp", "behandlingslinje", "behandlingsplan", "protokoll", "pasientforløp", "pakkeforløp">
			misuse = <"Skal ikke brukes for å registrere en ordinering av et klinisk forløp. Bruk arketypen INSTRUCTION.clinical_pathway_order for dette formålet.

Skal ikke brukes for å registrere informasjon om individualiserte protokoller, behandlingplaner eller veiledere. Bruk andre passende arketyper for disse formålene.">
			copyright = <"© Nasjonal IKT HF, openEHR Foundation">
		>
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"To record information about a high level, standardised clinical pathway carried out to organise the delivery of healthcare, and its constituent high level activities.">
			use = <"Use to record information about a high level, standardised clinical pathway carried out to organise the delivery of healthcare, and its constituent high level activities.

This archetype has been designed to support recording the carrying out of high level, standardised clinical pathways. Examples include, but are not limited to:
- Cancer care pathways outlining the major events of a course of cancer treatment, including the start and end of investigation, particularly significant multidisciplinary team (MDT) meetings, or the start of medical, radiation or surgical treatment.
- Standardised high level pathways for any type of medical or surgical treatment, such as allergen immunotherapy (AIT) or elective hyperbaric oxygen therapy (HBOT).">
			misuse = <"Not to be used to record the order for a clinical pathway. Use the INSTRUCTION.clinical_pathway_order archetype for this purpose.

Not to be used to record information about individualised protocols, care plans or guidelines. Use other appropriate archetypes for this purpose.">
			copyright = <"© Nasjonal IKT HF, openEHR Foundation">
		>
	>
	lifecycle_state = <"in_development">
	other_contributors = <>
	other_details = <
		["licence"] = <"This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/.">
		["custodian_organisation"] = <"openEHR Foundation">
		["original_namespace"] = <"org.openehr">
		["original_publisher"] = <"openEHR Foundation">
		["custodian_namespace"] = <"org.openehr">
		["MD5-CAM-1.0.1"] = <"3D37EDAE8224A853A5047FF69A2B6F78">
		["build_uid"] = <"0f53f826-6220-4a99-8739-06b8ba502398">
		["revision"] = <"0.0.1-alpha">
	>

definition
	ACTION[at0000] matches {    -- Clinical pathway
		ism_transition matches {
			ISM_TRANSITION[at0009] matches {    -- Pathway planned
				current_state matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[openehr::526]
						}
					}
				}
				careflow_step matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::at0009]    -- Pathway planned
						}
					}
				}
			}
			ISM_TRANSITION[at0017] matches {    -- Pathway postponed
				current_state matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[openehr::527]
						}
					}
				}
				careflow_step matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::at0017]    -- Pathway postponed
						}
					}
				}
			}
			ISM_TRANSITION[at0006] matches {    -- Pathway cancelled
				current_state matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[openehr::528]
						}
					}
				}
				careflow_step matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::at0006]    -- Pathway cancelled
						}
					}
				}
			}
			ISM_TRANSITION[at0008] matches {    -- Activity scheduled
				current_state matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[openehr::529]
						}
					}
				}
				careflow_step matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::at0008]    -- Activity scheduled
						}
					}
				}
			}
			ISM_TRANSITION[at0003] matches {    -- Activity performed
				current_state matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[openehr::245]
						}
					}
				}
				careflow_step matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::at0003]    -- Activity performed
						}
					}
				}
			}
			ISM_TRANSITION[at0016] matches {    -- Pathway suspended
				current_state matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[openehr::530]
						}
					}
				}
				careflow_step matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::at0016]    -- Pathway suspended
						}
					}
				}
			}
			ISM_TRANSITION[at0005] matches {    -- Pathway aborted
				current_state matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[openehr::531]
						}
					}
				}
				careflow_step matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::at0005]    -- Pathway aborted
						}
					}
				}
			}
			ISM_TRANSITION[at0007] matches {    -- Pathway completed
				current_state matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[openehr::532]
						}
					}
				}
				careflow_step matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::at0007]    -- Pathway completed
						}
					}
				}
			}
		}
		description matches {
			ITEM_TREE[at0001] matches {    -- Tree
				items cardinality matches {0..*; unordered} matches {
					ELEMENT[at0019] occurrences matches {0..1} matches {    -- Pathway name
						value matches {
							DV_TEXT matches {*}
						}
					}
					ELEMENT[at0002] occurrences matches {0..1} matches {    -- Activity
						value matches {
							DV_TEXT matches {*}
						}
					}
					ELEMENT[at0020] occurrences matches {0..1} matches {    -- Reason
						value matches {
							DV_TEXT matches {*}
						}
					}
					ELEMENT[at0010] occurrences matches {0..1} matches {    -- Description
						value matches {
							DV_TEXT matches {*}
						}
					}
					ELEMENT[at0014] occurrences matches {0..1} matches {    -- External activity
						value matches {
							DV_BOOLEAN matches {
								value matches {true}
							}
						}
					}
					allow_archetype CLUSTER[at0018] occurrences matches {0..*} matches {    -- Additional details
					}
					ELEMENT[at0021] occurrences matches {0..1} matches {    -- Comment
						value matches {
							DV_TEXT matches {*}
						}
					}
				}
			}
		}
		protocol matches {
			ITEM_TREE[at0011] matches {    -- Tree
				items cardinality matches {0..*; unordered} matches {
					allow_archetype CLUSTER[at0013] occurrences matches {0..*} matches {    -- Healthcare provider details
						include
							archetype_id/value matches {/.*/}
					}
					allow_archetype CLUSTER[at0022] occurrences matches {0..*} matches {    -- Extension
						include
							archetype_id/value matches {/.*/}
					}
				}
			}
		}
	}


ontology
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"Clinical pathway">
					description = <"A high level, standardised clinical pathway carried out to organise the delivery of healthcare.">
				>
				["at0001"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Activity">
					description = <"The name of the activity which was scheduled or performed.">
					comment = <"This element is only relevant against the \"Activity scheduled\" or \"Activity performed\" care flow steps.">
				>
				["at0003"] = <
					text = <"Activity performed">
					description = <"The activity has been performed.">
				>
				["at0005"] = <
					text = <"Pathway aborted">
					description = <"The pathway has been aborted.">
				>
				["at0006"] = <
					text = <"Pathway cancelled">
					description = <"The pathway has been cancelled.">
				>
				["at0007"] = <
					text = <"Pathway completed">
					description = <"The pathway has been completed.">
				>
				["at0008"] = <
					text = <"Activity scheduled">
					description = <"The activity has been scheduled.">
				>
				["at0009"] = <
					text = <"Pathway planned">
					description = <"The pathway has been planned.">
				>
				["at0010"] = <
					text = <"Description">
					description = <"Narrative description about the pathway or activity.">
				>
				["at0011"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0013"] = <
					text = <"Healthcare provider details">
					description = <"Details about the healthcare provider or organisation responsible for the recorded care flow step.">
					comment = <"Most of the time this will be the author of the composition, but some clinical pathways have started outside of the current healthcare provider.">
				>
				["at0014"] = <
					text = <"External activity">
					description = <"Was the activity performed outside of the healthcare provider responsible for the current health record?">
				>
				["at0016"] = <
					text = <"Pathway suspended">
					description = <"The pathway has been suspended.">
				>
				["at0017"] = <
					text = <"Pathway postponed">
					description = <"The pathway has been postponed.">
				>
				["at0018"] = <
					text = <"Additional details">
					description = <"Additional structured details about the care pathway or activity.">
				>
				["at0019"] = <
					text = <"Pathway name">
					description = <"The name of the clinical pathway.">
				>
				["at0020"] = <
					text = <"Reason">
					description = <"Reason that the care flow step for the clinical pathway was carried out.">
					comment = <"For example: the reason for the cancellation or suspension of the pathway. It is not necessary to record the reason for each pathway step that is expected. Rather this data element is intended to capture the reason for any divergence from a typical pathway process, such as 'Postponed' due to 'Patient had a fever', or 'Cancelled' due to 'Patient changed their mind'.">
				>
				["at0021"] = <
					text = <"Comment">
					description = <"Additional narrative about the pathway not captured in other fields.">
				>
				["at0022"] = <
					text = <"Extension">
					description = <"Additional information required to capture local content or to align with other reference models/formalisms.">
					comment = <"For example: local information requirements or additional metadata to align with FHIR equivalents.">
				>
			>
		>
		["nb"] = <
			items = <
				["at0000"] = <
					text = <"Klinisk forløp">
					description = <"Et overordnet, standardisert klinisk forløp for å styre behandlingen av et problem eller en tilstand.">
				>
				["at0001"] = <
					text = <"Tre">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Aktivitet">
					description = <"Navnet på aktiviteten som ble tidfestet eller utført.">
					comment = <"Dette elementet er kun relevant i forbindelse med prosesstrinnene \"Aktivitet tidfestet\" eller \"Aktivitet utført\".">
				>
				["at0003"] = <
					text = <"Aktivitet utført">
					description = <"Aktiviteten ble utført.">
				>
				["at0005"] = <
					text = <"Avbryt">
					description = <"Forløpet ble avbrutt.">
				>
				["at0006"] = <
					text = <"Forløp avlyst">
					description = <"Forløpet ble avlyst.">
				>
				["at0007"] = <
					text = <"Forløp fullført">
					description = <"Forløpet ble fullført.">
				>
				["at0008"] = <
					text = <"Aktivitet tidfestet">
					description = <"Aktiviteten ble tidfestet.">
				>
				["at0009"] = <
					text = <"Forløp planlagt">
					description = <"Forløpet ble planlagt.">
				>
				["at0010"] = <
					text = <"Beskrivelse">
					description = <"Fritekstbeskrivelse om forløpet eller aktiviteten.">
				>
				["at0011"] = <
					text = <"Tre">
					description = <"@ internal @">
				>
				["at0013"] = <
					text = <"Helsetjenestetilbyder">
					description = <"Detaljer om helsetjenestetilbyderen eller organisasjonen som var ansvarlig for det aktuelle prosesstrinnet.">
					comment = <"I de fleste tilfeller er dette forfatteren av komposisjonen, men noen kliniske forløp vil ha startet tidligere og utenfor den aktuelle helsetjenestetilbyderen.">
				>
				["at0014"] = <
					text = <"Ekstern aktivitet">
					description = <"Ble aktiviteten utført i en annen organisasjon eller pasientjournal?">
				>
				["at0016"] = <
					text = <"Forløp midlertidig stanset">
					description = <"Forløpet ble midlertidig satt på vent.">
				>
				["at0017"] = <
					text = <"Forløp utsatt">
					description = <"Forløpet ble utsatt.">
				>
				["at0018"] = <
					text = <"Ytterligere detaljer">
					description = <"Ytterligere strukturerte detaljer om forløpet eller aktiviteten.">
				>
				["at0019"] = <
					text = <"Forløp">
					description = <"Navnet på det kliniske forløpet.">
				>
				["at0020"] = <
					text = <"Årsak">
					description = <"Begrunnelse for at det aktuelle prosesstrinnet ble utført.">
					comment = <"For eksempel årsaken til at forløpet ble avlyst eller satt på vent. Det er ikke nødvendig å registrere en årsak for hvert prosesstrinn når forløpet går som planlagt. Dette dataelementet er ment for å kunne registrere årsaken til avvik fra et typisk forløp, som for eksempel \"Utsatt\" med årsaken \"Pasienten hadde feber\", eller \"Avlyst\" med årsaken \"Pasienten ombestemte seg\".">
				>
				["at0021"] = <
					text = <"Kommentar">
					description = <"Ytterligere fritekst om forløpet som ikke fanges opp i andre dataelementer.">
				>
				["at0022"] = <
					text = <"Tilleggsinformasjon">
					description = <"Ytterligere informasjon som trengs for å kunne registrere lokalt definert innhold eller for å tilpasse til andre referansemodeller/formalismer.">
					comment = <"For eksempel lokale informasjonsbehov eller ytterligere metadata for å kunne tilpasse til tilsvarende konsepter i FHIR.">
				>
			>
		>
	>