archetype (adl_version=1.4; uid=9462aaa2-2f5f-4caa-8eb6-6884e7433af5)
	openEHR-EHR-ADMIN_ENTRY.three_delays_model.v0

concept
	[at0000]	-- Three Delays Model (3DM)
language
	original_language = <[ISO_639-1::en]>
description
	original_author = <
		["name"] = <"Heather Leslie">
		["organisation"] = <"Atomica Informatics">
		["email"] = <"heather.leslie@atomicainformatics.com">
		["date"] = <"2022-06-22">
	>
	details = <
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"To record information about identified delays in seeking, reaching or receiving healthcare using the \"Three Delays\" framework.">
			use = <"Use to record information about identified delays in seeking, reaching or receiving healthcare using the \"Three Delays\" framework.">
			misuse = <"">
			copyright = <"© 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">
		["references"] = <"Barnes-Josiah D, Myntti C, Augustin A. The \"three delays\" as a framework for examining maternal mortality in Haiti. Soc Sci Med. 1998 Apr;46(8):981-93. doi: 10.1016/s0277-9536(97)10018-1. PMID: 9579750. Available from: https://www.sciencedirect.com/science/article/pii/S0277953697100181.

Shah B, Krishnan N, Kodish SR, et al. Applying the Three Delays Model to understand emergency care seeking and delivery in rural Bangladesh: a qualitative study. BMJ Open 2020;10:e042690. doi: 10.1136/bmjopen-2020-042690. Available from: https://bmjopen.bmj.com/content/10/12/e042690.">
		["original_namespace"] = <"org.openehr">
		["original_publisher"] = <"openEHR Foundation">
		["custodian_namespace"] = <"org.openehr">
		["MD5-CAM-1.0.1"] = <"0868ACA1E16F36BC7156A5EBE38B989C">
		["build_uid"] = <"b2eb0a78-c49d-451b-8e56-8c2c4cd40c17">
		["ip_acknowledgements"] = <"This artefact includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyrighted material of the International Health Terminology Standards Development Organisation (IHTSDO). Where an implementation of this artefact makes use of SNOMED CT content, the implementer must have the appropriate SNOMED CT Affiliate license - for more information contact https://www.snomed.org/snomed-ct/get-snomed or info@snomed.org.">
		["revision"] = <"0.0.1-alpha">
	>

definition
	ADMIN_ENTRY[at0000] matches {    -- Three Delays Model (3DM)
		data matches {
			ITEM_TREE[at0001] matches {    -- Item tree
				items cardinality matches {0..*; unordered} matches {
					ELEMENT[at0005] occurrences matches {0..1} matches {    -- Delay category
						value matches {
							DV_CODED_TEXT matches {
								defining_code matches {
									[local::
									at0019,    -- Seeking care
									at0020,    -- Reaching care
									at0021]    -- Receiving care
								}
							}
							DV_TEXT matches {*}
						}
					}
					ELEMENT[at0013] occurrences matches {0..1} matches {    -- Delay presence?
						value matches {
							DV_CODED_TEXT matches {
								defining_code matches {
									[local::
									at0014,    -- Yes
									at0015,    -- No
									at0018]    -- Unknown
								}
							}
						}
					}
					allow_archetype CLUSTER[at0012] occurrences matches {0..*} matches {    -- Delay details
						include
							archetype_id/value matches {/openEHR-EHR-CLUSTER\.delay_details(-[a-zA-Z0-9_]+)*\.v0/}
					}
					ELEMENT[at0008] occurrences matches {0..1} matches {    -- Description
						value matches {
							DV_TEXT matches {*}
						}
					}
					allow_archetype CLUSTER[at0022] occurrences matches {0..1} matches {    -- Solution responsibility
						include
							archetype_id/value matches {/openEHR-EHR-CLUSTER\.person(-[a-zA-Z0-9_]+)*\.v1/}
					}
					ELEMENT[at0023] occurrences matches {0..1} matches {    -- Solution timeline
						value matches {
							DV_DATE_TIME matches {*}
							DV_DURATION matches {
								value matches {PYMWD/|>=P0D|}
							}
						}
					}
					ELEMENT[at0009] occurrences matches {0..1} matches {    -- Comment
						value matches {
							DV_TEXT matches {*}
						}
					}
				}
			}
		}
	}


ontology
	terminologies_available = <"SNOMED-CT", ...>
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"Three Delays Model (3DM)">
					description = <"A framework to identify factors that lead to delays or problems in the provision of healthcare and poor outcomes.">
					comment = <"The Three Delays Model was originally developed
in the context of maternal mortality in low income settings but has been used in other contexts.">
				>
				["at0001"] = <
					text = <"Item tree">
					description = <"@ internal @">
				>
				["at0005"] = <
					text = <"Delay category">
					description = <"The type of delay.">
					comment = <"For example: delay related to patient factors; delay related to socio-economic factors; or delay related to health facility factors.">
				>
				["at0008"] = <
					text = <"Description">
					description = <"Narrative description about the delay category.">
				>
				["at0009"] = <
					text = <"Comment">
					description = <"Narrative description about the delay category, not captured in other fields.">
				>
				["at0012"] = <
					text = <"Delay details">
					description = <"Additional details about subcategories of delay or specific delays.">
				>
				["at0013"] = <
					text = <"Delay presence?">
					description = <"Was the delay recognised as present, relevant to the identified 'Delay category'?">
				>
				["at0014"] = <
					text = <"Yes">
					description = <"">
				>
				["at0015"] = <
					text = <"No">
					description = <"">
				>
				["at0018"] = <
					text = <"Unknown">
					description = <"">
				>
				["at0019"] = <
					text = <"Seeking care">
					description = <"Deciding to seek additional care">
				>
				["at0020"] = <
					text = <"Reaching care">
					description = <"Reaching an appropriate health facility">
				>
				["at0021"] = <
					text = <"Receiving care">
					description = <"Receiving appropriate care from the health facility">
				>
				["at0022"] = <
					text = <"Solution responsibility">
					description = <"The name of the person or organisation assigned responsibility to solve or mitigate the identified delay category.">
				>
				["at0023"] = <
					text = <"Solution timeline">
					description = <"The due date or proposed timeframe for resolution or mitigation of the delay category.">
				>
			>
		>
	>
	term_bindings = <
		["SNOMED-CT"] = <
			items = <
				["at0014"] = <[SNOMED-CT::373066001]>
				["at0015"] = <[SNOMED-CT::373067005]>
				["at0018"] = <[SNOMED-CT::261665006]>
			>
		>
	>