Modellbiblioteket openEHR Fork
Name
Operative procedure
Description
Details about the operative aspects of a procedure.
Keywords
procedure
surgery
incision
resection
intervention
surgical
trauma
repair
Purpose
To record details about the operative aspects of a procedure.
Use
Use to record details about the operative aspects of any surgical procedure.
This archetype is designed to be nested within the 'Procedure detail' SLOT within the ACTION.procedure archetype or similar, which will identifiy the name of the procedure and information that is common to all types of procedures.
Other CLUSTER archetypes can be inserted into the SLOTs to extend this generic archetype to capture further details for the identified operation - for example: CLUSTER.surgical_preparation; CLUSTER.myringoplasty and CLUSTER.closure.
This archetype is designed to be nested within the 'Procedure detail' SLOT within the ACTION.procedure archetype or similar, which will identifiy the name of the procedure and information that is common to all types of procedures.
Other CLUSTER archetypes can be inserted into the SLOTs to extend this generic archetype to capture further details for the identified operation - for example: CLUSTER.surgical_preparation; CLUSTER.myringoplasty and CLUSTER.closure.
Archetype Id
openEHR-EHR-CLUSTER.operative_procedure.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
Nyree Taylor
Ocean Health Systems, Australia
Ocean Health Systems, Australia
Date Originally Authored
To record details about the operative aspects of a procedure.
Name | Card | Type | Description |
---|---|---|---|
Episode
|
0..1 | DV_CODED_TEXT |
Sequence order of the procedure.
Constraint for DV_CODED_TEXT
|
Pre-operative assessment
|
0..* | Slot (Cluster) |
Structured details about pre-procedure activities.
Slot
Slot
|
Approach
|
0..1 | DV_TEXT |
Description about the surgical technique.
|
Operation details
|
0..* | Slot (Cluster) |
Specific details about the operation.
Slot
Slot
|
Closure
|
0..1 | DV_TEXT |
Narrative description about the closure of the wound.
|
Closure details
|
0..* | Slot (Cluster) |
Specific details about the closure of the wound.
Slot
Slot
|
Operative diagnosis
|
0..1 | DV_TEXT |
Single word, phrase or brief description representing the clinical findings from the operation.
|
Outcomes
|
0..1 | DV_TEXT |
Narrative description of the result or consequences of the operation or procedure.
|
Comment
|
0..1 | DV_TEXT |
Additional narrative about the operative procedure, not captured in other fields.
|
archetype (adl_version=1.4; uid=4946e311-71c7-41d0-963e-ea8eaa3f0a2e) openEHR-EHR-CLUSTER.operative_procedure.v0 concept [at0000] -- Operative procedure language original_language = <[ISO_639-1::en]> description original_author = < ["name"] = <"Nyree Taylor"> ["organisation"] = <"Ocean Health Systems, Australia"> ["email"] = <"nyree.taylor@oceanhealthsystems.com"> ["date"] = <"2017-07-26"> > details = < ["en"] = < language = <[ISO_639-1::en]> purpose = <"To record details about the operative aspects of a procedure."> use = <"Use to record details about the operative aspects of any surgical procedure. This archetype is designed to be nested within the 'Procedure detail' SLOT within the ACTION.procedure archetype or similar, which will identifiy the name of the procedure and information that is common to all types of procedures. Other CLUSTER archetypes can be inserted into the SLOTs to extend this generic archetype to capture further details for the identified operation - for example: CLUSTER.surgical_preparation; CLUSTER.myringoplasty and CLUSTER.closure."> keywords = <"procedure", "surgery", "incision", "resection", "intervention", "surgical", "trauma", "repair"> misuse = <""> copyright = <"© openEHR Foundation"> > > lifecycle_state = <"in_development"> other_contributors = <"Heather Leslie, Ocean Health Systems, Australia", "Graeme Crossland, HHIMS program, Northern Territory, Australia"> 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"] = <"Nyree Taylor, Ocean Health Systems, Australia<nyree.taylor@oceanhealthsystems.com>"> ["original_namespace"] = <"org.openehr"> ["original_publisher"] = <"openEHR Foundation"> ["custodian_namespace"] = <"org.openehr"> ["MD5-CAM-1.0.1"] = <"0B61FC138DCD04219DC8E97AB49A636F"> ["build_uid"] = <"31822ca5-96dd-4ff3-9d85-220b450db65a"> ["revision"] = <"0.0.1-alpha"> > definition CLUSTER[at0000] matches { -- Operative procedure items cardinality matches {1..*; unordered} matches { ELEMENT[at0001] occurrences matches {0..1} matches { -- Episode value matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0002, -- Primary at0003] -- Revision } } } } allow_archetype CLUSTER[at0005] occurrences matches {0..*} matches { -- Pre-operative assessment include archetype_id/value matches {/openEHR-EHR-CLUSTER\.asa_status\.v0/} } ELEMENT[at0006] occurrences matches {0..1} matches { -- Approach value matches { DV_TEXT matches {*} } } allow_archetype CLUSTER[at0007] occurrences matches {0..*} matches { -- Operation details include archetype_id/value matches {/.*/} } ELEMENT[at0009] occurrences matches {0..1} matches { -- Closure value matches { DV_TEXT matches {*} } } allow_archetype CLUSTER[at0010] occurrences matches {0..*} matches { -- Closure details include archetype_id/value matches {/.*/} } ELEMENT[at0011] occurrences matches {0..1} matches { -- Operative diagnosis value matches { DV_TEXT matches {*} } } ELEMENT[at0013] occurrences matches {0..1} matches { -- Outcomes value matches { DV_TEXT matches {*} } } ELEMENT[at0012] occurrences matches {0..1} matches { -- Comment value matches { DV_TEXT matches {*} } } } } ontology term_definitions = < ["en"] = < items = < ["at0000"] = < text = <"Operative procedure"> description = <"Details about the operative aspects of a procedure."> > ["at0001"] = < text = <"Episode"> description = <"Sequence order of the procedure."> > ["at0002"] = < text = <"Primary"> description = <"The first time the procedure has been performed on this body site."> > ["at0003"] = < text = <"Revision"> description = <"Subsequent times the procedure is performed."> > ["at0005"] = < text = <"Pre-operative assessment"> description = <"Structured details about pre-procedure activities."> > ["at0006"] = < text = <"Approach"> description = <"Description about the surgical technique."> > ["at0007"] = < text = <"Operation details"> description = <"Specific details about the operation."> > ["at0009"] = < text = <"Closure"> description = <"Narrative description about the closure of the wound."> > ["at0010"] = < text = <"Closure details"> description = <"Specific details about the closure of the wound."> > ["at0011"] = < text = <"Operative diagnosis"> description = <"Single word, phrase or brief description representing the clinical findings from the operation."> > ["at0012"] = < text = <"Comment"> description = <"Additional narrative about the operative procedure, not captured in other fields."> > ["at0013"] = < text = <"Outcomes"> description = <"Narrative description of the result or consequences of the operation or procedure."> > > > >