Modellbiblioteket openEHR Fork
Name
Procedure preparation
Description
Details about a substance or process in the preparatory aspects for a procedure.
Keywords
cleaning shaving sterilisation disinfection
Purpose
To record details about the preparation aspects for a procedure.
Use
Use to record details about the preparation aspects for a procedure.

This archetype is designed to be nested within the 'Procedure detail' SLOT within the ACTION or INSTRUCTION.procedure archetype or similar, which will identify 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 catpure further details about the preparative aspects for a specific procedure for example shaving.

Scope: This archetype is specifically designed to be used to capture deails about physiological preparation of the human body in readiness for a procedure.
Misuse
Not to be used to capture psychological or educational information provided to the patient about the procedure - use ACTION.health_education or INSTRUCTION.health_education_request for this purpose.

Not to be used to record details of preoperative medications - use ACTION.medication or INSTRUCTION_medication order for this purpose.
Archetype Id
openEHR-EHR-CLUSTER.procedure_preparation.v0
Copyright
© openEHR Foundation
Licencing
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/.
Original Author
Heather Leslie
Atomica Informatics
Date Originally Authored
To record details about the preparation aspects for a procedure.
Name Card Type Description
Preparation type
0..1 DV_CODED_TEXT The category or kind of preparation.
Constraint for DV_CODED_TEXT
  • Skin
    [Body surface layer or area for intended procedure.]
  • Hair
    [Bodily filaments found in the surface of the skin or epidermis.]
  • Shaving
    [Removing hair from a body site.]
Body site
0..1 DV_TEXT Identification of a single physical site either on, or within, the human body.
Structured body site
0..* Slot (Cluster) Additional detail using a specific region or a point on, or within, the identified body site.
Slot
Slot
Description
0..1 DV_TEXT Narrative description about the prepation aspects of a procedure.
Wash solution
0..1 DV_TEXT Narrative description of the solution to clean the body site.
Method
0..1 DV_TEXT Narrative description of the technique to clean the body site or area.
Instrument
0..1 DV_TEXT Narrative description of the tool to clean the body site or area.
Comment
This could include betadine brush wash or body clippers.
Additional details
0..* Slot (Cluster) *
Slot
Slot
Outcome
0..1 DV_TEXT Narrative description of the outcome of the procedure preparation performed.
Comment
0..1 DV_TEXT Additional narrative about the procedure preparation not captured in other fields.
archetype (adl_version=1.4; uid=4d5cc43d-6106-4752-97d0-7e45ab4ba56c)
	openEHR-EHR-CLUSTER.procedure_preparation.v0

concept
	[at0000]	-- Procedure preparation
language
	original_language = <[ISO_639-1::en]>
description
	original_author = <
		["name"] = <"Heather Leslie">
		["organisation"] = <"Atomica Informatics">
		["email"] = <"heather.leslie@atomicainformatics.com">
		["date"] = <"2017-07-21">
	>
	details = <
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"To record details about the preparation aspects for a procedure.">
			use = <"Use to record details about the preparation aspects for a procedure.

This archetype is designed to be nested within the 'Procedure detail' SLOT within the ACTION or INSTRUCTION.procedure archetype or similar, which will identify 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 catpure further details about the preparative aspects for a specific procedure for example shaving. 

Scope: This archetype is specifically designed to be used to capture deails about physiological preparation of the human body in readiness for a procedure.">
			keywords = <"cleaning", "shaving", "sterilisation", "disinfection">
			misuse = <"Not to be used to capture psychological or educational information provided to the patient about the procedure - use ACTION.health_education or INSTRUCTION.health_education_request for this purpose. 

Not to be used to record details of preoperative medications - use ACTION.medication or INSTRUCTION_medication order for this purpose.">
			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">
		["original_namespace"] = <"org.openehr">
		["original_publisher"] = <"openEHR Foundation">
		["custodian_namespace"] = <"org.openehr">
		["MD5-CAM-1.0.1"] = <"B93994A7F68A0918526C6B421AB1AB36">
		["build_uid"] = <"b1b9d5bb-87f0-4a57-af38-5309e22da79b">
		["revision"] = <"0.0.1-alpha">
	>

definition
	CLUSTER[at0000] matches {	-- Procedure preparation
		items cardinality matches {1..*; unordered} matches {
			ELEMENT[at0001] occurrences matches {0..1} matches {	-- Preparation type
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0002, 	-- Skin
							at0003, 	-- Hair
							at0004]	-- Shaving
						}
					}
				}
			}
			ELEMENT[at0005] occurrences matches {0..1} matches {	-- Body site
				value matches {
					DV_TEXT matches {*}
				}
			}
			allow_archetype CLUSTER[at0006] occurrences matches {0..*} matches {	-- Structured body site
				include
					archetype_id/value matches {/openEHR-EHR-CLUSTER\.anatomical_location\.v1/}
			}
			ELEMENT[at0008] occurrences matches {0..1} matches {	-- Description
				value matches {
					DV_TEXT matches {*}
				}
			}
			ELEMENT[at0009] occurrences matches {0..1} matches {	-- Wash solution
				value matches {
					DV_TEXT matches {*}
				}
			}
			ELEMENT[at0010] occurrences matches {0..1} matches {	-- Method
				value matches {
					DV_TEXT matches {*}
				}
			}
			ELEMENT[at0011] occurrences matches {0..1} matches {	-- Instrument
				value matches {
					DV_TEXT matches {*}
				}
			}
			allow_archetype CLUSTER[at0013] occurrences matches {0..*} matches {	-- Additional details
				include
					archetype_id/value matches {/.*/}
			}
			ELEMENT[at0014] occurrences matches {0..1} matches {	-- Outcome
				value matches {
					DV_TEXT matches {*}
				}
			}
			ELEMENT[at0015] occurrences matches {0..1} matches {	-- Comment
				value matches {
					DV_TEXT matches {*}
				}
			}
		}
	}



ontology
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"Procedure preparation">
					description = <"Details about a substance or process in the preparatory aspects for a procedure.">
				>
				["at0001"] = <
					text = <"Preparation type">
					description = <"The category or kind of preparation.">
				>
				["at0002"] = <
					text = <"Skin">
					description = <"Body surface layer or area for intended procedure.">
				>
				["at0003"] = <
					text = <"Hair">
					description = <"Bodily filaments found in the surface of the skin or epidermis.">
				>
				["at0004"] = <
					text = <"Shaving">
					description = <"Removing hair from a body site.">
				>
				["at0005"] = <
					text = <"Body site">
					description = <"Identification of a single physical site either on, or within, the human body.">
				>
				["at0006"] = <
					text = <"Structured body site">
					description = <"Additional detail using a specific region or a point on, or within, the identified body site.">
				>
				["at0008"] = <
					text = <"Description">
					description = <"Narrative description about the prepation aspects of a procedure.">
				>
				["at0009"] = <
					text = <"Wash solution">
					description = <"Narrative description of the solution to clean the body site.">
				>
				["at0010"] = <
					text = <"Method">
					description = <"Narrative description of the technique to clean the body site or area.">
				>
				["at0011"] = <
					text = <"Instrument">
					description = <"Narrative description of the tool to clean the body site or area.">
					comment = <"This could include betadine brush wash or body clippers.">
				>
				["at0013"] = <
					text = <"Additional details">
					description = <"*">
				>
				["at0014"] = <
					text = <"Outcome">
					description = <"Narrative description of the outcome of the procedure preparation performed.">
				>
				["at0015"] = <
					text = <"Comment">
					description = <"Additional narrative about the procedure preparation not captured in other fields.">
				>
			>
		>
	>