Modellbiblioteket openEHR Fork
Name
Review
Description
Clinical activity regarding the performance of a formal clinical review of a subject's clinical situation, a specific aspect of their clinical care or a specified part of the health record.
Keywords
record review medication vaccination adverse reaction allergy medicine
Purpose
To record details of clinical activity regarding the performance of a formal clinical review of a subject's clinical situation, a specific aspect of their clinical care or a specified part of the health record.
Use
Use to record details of clinical activity regarding the performance of a formal clinical review of a subject's clinical situation, a specific aspect of their clinical care or a specified part of the health record. For example: recording activity around the performance of a formal Medicines Review; or a care coordinator reviewing progress of Care Plans; or a file review by a case worker.
Archetype Id
openEHR-EHR-ACTION.review.v0
Copyright
© openEHR Foundation
Licencing
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/.
Original Author
Heather Leslie
Atomica Informatics
Date Originally Authored
To record details of clinical activity regarding the performance of a formal clinical review of a subject's clinical situation, a specific aspect of their clinical care or a specified part of the health record.
Name Card Type Description
Review activity
0..1 DV_TEXT Identification of the item or activity that is being reviewed.
Comment
Coding with a terminology is preferred, if available. For example: Medicines List; Care Plan Review; or File Review.
Description
0..1 DV_TEXT Narrative description of the Review Activity relevant for the care pathway step.
Comment
For example: description of the Medicines Review that was performed; or the Care Plan review that is planned or scheduled.
Reason
0..1 DV_TEXT Reason that the care pathway step for the identified Review Activity was carried out.
Comment
For example, the reason for the cancellation or suspension of the Review Activity
Name Card Type Description
Start date/time
0..1 DV_DATE_TIME The start date and/or time for the Review activity.
Comment
This will indicate the scheduled date/time when recorded against the Scheduled care pathway step or the actual Start date/time in the Procedure performed step.
DV_DATE_TIME
Extension
0..* Slot (Cluster) 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 or CIMI equivalents.
Slot
Slot
Careflow Step Description Current State
Review planned The review activity is planned. planned
Review postponed The review has been postponed. postponed
Review cancelled The review activity has been cancelled. cancelled
Review scheduled The review activity has been scheduled. scheduled
Review rescheduled The review activity has been rescheduled. scheduled
Review performed The review activity has been performed. active
Review suspended The review activity has been suspended. suspended
Review aborted The review activity has been aborted. aborted
Review completed The review activity has been completed. completed
archetype (adl_version=1.4; uid=bab2f8cc-9e20-3677-8ca6-adb8072ae492)
	openEHR-EHR-ACTION.review.v0

concept
	[at0000]	-- Review
language
	original_language = <[ISO_639-1::en]>
description
	original_author = <
		["name"] = <"Heather Leslie">
		["organisation"] = <"Atomica Informatics">
		["email"] = <"heather.leslie@atomicainformatics.com">
		["date"] = <"2011-03-09">
	>
	details = <
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"To record details of clinical activity regarding the performance of a formal clinical review of a subject's clinical situation, a specific aspect of their clinical care or a specified part of the health record.">
			use = <"Use to record details of clinical activity regarding the performance of a formal clinical review of a subject's clinical situation, a specific aspect of their clinical care or a specified part of the health record. For example: recording activity around the performance of a formal Medicines Review; or a care coordinator reviewing progress of Care Plans; or a file review by a case worker.">
			keywords = <"record", "review", "medication", "vaccination", "adverse reaction", "allergy", "medicine">
			misuse = <"">
			copyright = <"© openEHR Foundation">
		>
	>
	lifecycle_state = <"in_development">
	other_contributors = <>
	other_details = <
		["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"] = <"openEHR Foundation">
		["current_contact"] = <"Heather Leslie, Atomica Informatics, heather.leslie@atomicainformatics.com">
		["original_namespace"] = <"org.openehr">
		["original_publisher"] = <"openEHR Foundation">
		["custodian_namespace"] = <"org.openehr">
		["MD5-CAM-1.0.1"] = <"04B78D1D0BE812327814EB8704AE1877">
		["build_uid"] = <"e33b4092-0267-4036-bdfc-5c968e1a57e6">
		["revision"] = <"0.0.1-alpha">
	>

definition
	ACTION[at0000] matches {    -- Review
		ism_transition matches {
			ISM_TRANSITION[at0003] matches {    -- Review planned
				current_state matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[openehr::526]
						}
					}
				}
				careflow_step matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::at0003]    -- Review planned
						}
					}
				}
			}
			ISM_TRANSITION[at0010] matches {    -- Review postponed
				current_state matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[openehr::527]
						}
					}
				}
				careflow_step matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::at0010]    -- Review postponed
						}
					}
				}
			}
			ISM_TRANSITION[at0012] matches {    -- Review cancelled
				current_state matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[openehr::528]
						}
					}
				}
				careflow_step matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::at0012]    -- Review cancelled
						}
					}
				}
			}
			ISM_TRANSITION[at0004] matches {    -- Review scheduled
				current_state matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[openehr::529]
						}
					}
				}
				careflow_step matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::at0004]    -- Review scheduled
						}
					}
				}
			}
			ISM_TRANSITION[at0019] matches {    -- Review rescheduled
				current_state matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[openehr::529]
						}
					}
				}
				careflow_step matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::at0019]    -- Review rescheduled
						}
					}
				}
			}
			ISM_TRANSITION[at0006] matches {    -- Review performed
				current_state matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[openehr::245]
						}
					}
				}
				careflow_step matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::at0006]    -- Review performed
						}
					}
				}
			}
			ISM_TRANSITION[at0011] matches {    -- Review suspended
				current_state matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[openehr::530]
						}
					}
				}
				careflow_step matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::at0011]    -- Review suspended
						}
					}
				}
			}
			ISM_TRANSITION[at0013] matches {    -- Review aborted
				current_state matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[openehr::531]
						}
					}
				}
				careflow_step matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::at0013]    -- Review aborted
						}
					}
				}
			}
			ISM_TRANSITION[at0016] matches {    -- Review completed
				current_state matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[openehr::532]
						}
					}
				}
				careflow_step matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::at0016]    -- Review completed
						}
					}
				}
			}
		}
		description matches {
			ITEM_TREE[at0001] matches {    -- Tree
				items cardinality matches {0..*; unordered} matches {
					ELEMENT[at0002] occurrences matches {0..1} matches {    -- Review activity
						value matches {
							DV_TEXT matches {*}
						}
					}
					ELEMENT[at0015] occurrences matches {0..1} matches {    -- Description
						value matches {
							DV_TEXT matches {*}
						}
					}
					ELEMENT[at0014] occurrences matches {0..1} matches {    -- Reason
						value matches {
							DV_TEXT matches {*}
						}
					}
				}
			}
		}
		protocol matches {
			ITEM_TREE[at0017] matches {    -- Tree
				items cardinality matches {0..*; unordered} matches {
					ELEMENT[at0018] occurrences matches {0..1} matches {    -- Start date/time
						value matches {
							DV_DATE_TIME matches {*}
						}
					}
					allow_archetype CLUSTER[at0020] occurrences matches {0..*} matches {    -- Extension
						include
							archetype_id/value matches {/.*/}
					}
				}
			}
		}
	}


ontology
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"Review">
					description = <"Clinical activity regarding the performance of a formal clinical review of a subject's clinical situation, a specific aspect of their clinical care or a specified part of the health record.">
				>
				["at0001"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Review activity">
					description = <"Identification of the item or activity that is being reviewed.">
					comment = <"Coding with a terminology is preferred, if available. For example: Medicines List; Care Plan Review; or File Review.">
				>
				["at0003"] = <
					text = <"Review planned">
					description = <"The review activity is planned.">
				>
				["at0004"] = <
					text = <"Review scheduled">
					description = <"The review activity has been scheduled.">
				>
				["at0006"] = <
					text = <"Review performed">
					description = <"The review activity has been performed.">
				>
				["at0010"] = <
					text = <"Review postponed">
					description = <"The review has been postponed.">
				>
				["at0011"] = <
					text = <"Review suspended">
					description = <"The review activity has been suspended.">
				>
				["at0012"] = <
					text = <"Review cancelled">
					description = <"The review activity has been cancelled.">
				>
				["at0013"] = <
					text = <"Review aborted">
					description = <"The review activity has been aborted.">
				>
				["at0014"] = <
					text = <"Reason">
					description = <"Reason that the care pathway step for the identified Review Activity was carried out.">
					comment = <"For example, the reason for the cancellation or suspension of the Review Activity">
				>
				["at0015"] = <
					text = <"Description">
					description = <"Narrative description of the Review Activity relevant for the care pathway step.">
					comment = <"For example: description of the Medicines Review that was performed; or the Care Plan review that is planned or scheduled.">
				>
				["at0016"] = <
					text = <"Review completed">
					description = <"The review activity has been completed.">
				>
				["at0017"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0018"] = <
					text = <"Start date/time">
					description = <"The start date and/or time for the Review activity.">
					comment = <"This will indicate the scheduled date/time when recorded against the Scheduled care pathway step or the actual Start date/time in the Procedure performed step.">
				>
				["at0019"] = <
					text = <"Review rescheduled">
					description = <"The review activity has been rescheduled.">
				>
				["at0020"] = <
					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 or CIMI equivalents.">
				>
			>
		>
	>