Modellbiblioteket openEHR Fork
Name
Blood loss
Description
The measurement of blood loss from the body via any mechanism.
Keywords
fluid balance output drain drainage bleeding exsanguination hypovolaemia
Purpose
To record details about measured blood loss loss via any mechanism.
Use
Use to record details about measured fluids lost or excreted via any mechanism.

This archetype will be used to record details about:
- each single measurement, for example the volume of each bleeding event from a single source; or
- the total amount of bleeding over a specified period of time, for example the blood loss over an 8 hour nursing shift.

Each fluid measurement should be recorded using a separate instance of this archetype.

Each separate source of blood loss may be recorded using a separate instance of this archetype.

The details recorded using this blood loss archetype may inform fluid balance calculations.
Misuse
Not to be used to record fluid input. Use OBSERVATION.fluid_input for this purpose.

Not to be used to record fluid balance calculations or to record the calculation of insensible fluid loss. Use OBSERVATION.fluid_balance for this purpose.
References
Fluid Output, Draft Archetype [Internet]. Australian Digital Health Agency, Australian Digital Health Agency Clinical Knowledge Manager [cited: 2017-05-04]. Available from: http://dcm.nehta.org.au/ckm/#showArchetype_1013.1.1204.
Archetype Id
openEHR-EHR-OBSERVATION.fluid_output-blood.v0
Copyright
© Australian Digital Health Agency, openEHR Foundation, Nasjonal IKT HF
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, Australia
Date Originally Authored
To record details about measured blood loss loss via any mechanism.
Language Details
Swedish
Kirsi Poikela
Tieto Sweden AB
Norwegian Bokmal
Vebjørn Arntzen
Oslo universitetssykehus HF
Spanish (Argentina)
Alan March
Hospital Universitario Austral
Slovenian, Slovene
?
Name Card Type Description
Fluid name
0..1 DV_CODED_TEXT Identification of the fluid lost or excreted.
Comment
For example: urine or vomit. Coding of fluid name with a terminology is preferred, if possible.
Constraint for DV_CODED_TEXT
  • Blood
    [Fluid loss from the body as a result of bleeding.]
Source
0..1 DV_TEXT The source from which the fluid is lost or excreted.
Comment
For example: drain tube; urinary catheter or nasopharyngal tube. In a clinical application, if the same type of fluid is being observed from two or more sources such as multiple drains from the same wound, the source may be described as “Drain tube 1” and “Drain tube 2”. Coding of the source with a terminology is preferred, where possible.
Volume
0..1 DV_QUANTITY The volume of fluid.
Comment
If absorbant material, such as diapers and dressings, are weighed as part of managing fluid loss estimates, the weight will need to be converted to a volume for recording.
DV_QUANTITY
Fluid details
0..* Slot (Cluster) Additional details about the fluid, including macroscopic appearance or other tests not currently captured in the structured data.
Comment
For example: the colour of the urine.
Slot
Slot
Comment
0..1 DV_TEXT Additional narrative about the fluid output not captured in other fields.
Blood clots?
0..1 DV_CODED_TEXT Description the presence or absence of blood clots.
Constraint for DV_CODED_TEXT
  • Present
    [Blood clots were present.]
  • Absent
    [Blood clots were not present.]
Name Card Type Description
Method
0..1 DV_CODED_TEXT The approach used to quantify the volume of fluid.
Constraint for DV_CODED_TEXT
  • Estimated
    [The fluid volume has been estimated.]
  • Measured
    [The fluid volume has been directly measured.]
Output device
0..1 Slot (Cluster) Details of the device that was used to collect the fluid.
Comment
For example: a urinary catheter or a drain tube.
Slot
Slot
Measurement device
0..1 Slot (Cluster) Details of the device used to measure the fluid output.
Comment
For example: Urinary drainage bag.
Slot
Slot
Extension
0..* Slot (Cluster) Additional information required to capture local content or to align with other reference models/formalisms.
Comment
e.g. Local information requirements or additional metadata to align with FHIR or CIMI equivalents.
Slot
Slot
archetype (adl_version=1.4; uid=d1fdc700-d729-49f4-88bf-74559c51cf65)
	openEHR-EHR-OBSERVATION.fluid_output-blood.v0
specialise
	openEHR-EHR-OBSERVATION.fluid_output.v1

concept
	[at0000.1]	-- Blood loss
language
	original_language = <[ISO_639-1::en]>
	translations = <
		["sv"] = <
			language = <[ISO_639-1::sv]>
			author = <
				["name"] = <"Kirsi Poikela">
				["organisation"] = <"Tieto Sweden AB">
				["email"] = <"ext.kirsi.poikela@tieto.com">
			>
		>
		["nb"] = <
			language = <[ISO_639-1::nb]>
			author = <
				["name"] = <"Vebjørn Arntzen">
				["organisation"] = <"Oslo universitetssykehus HF">
				["email"] = <"varntzen@ous-hf.no">
			>
		>
		["es-ar"] = <
			language = <[ISO_639-1::es-ar]>
			author = <
				["name"] = <"Alan March">
				["organisation"] = <"Hospital Universitario Austral">
				["email"] = <"amarch@cas.austral.edu.ar">
			>
			accreditation = <"MD">
		>
		["sl"] = <
			language = <[ISO_639-1::sl]>
			author = <
				["name"] = <"?">
			>
		>
	>
description
	original_author = <
		["name"] = <"Heather Leslie">
		["organisation"] = <"Atomica Informatics, Australia">
		["email"] = <"heather.leslie@atomicainformatics.com">
		["date"] = <"2019-11-11">
	>
	details = <
		["sv"] = <
			language = <[ISO_639-1::sv]>
			purpose = <"Att registrera information om uppmätt vätska som förloras eller utsöndras via någon mekanism.">
			use = <"Används för att registrera information om uppmätt vätska som förloras eller utsöndras via någon mekanism.

Används för att registrera information om:
-varje mätning av en vätskeutsöndring, exempelvis volymen av varje kräkning.

-den totala vätskeutsöndringen från en enda källa under en viss tidsperiod, exempelvis den totala urinproduktionen under ett 8-timmars omvårdnadsskift.

Varje vätskemätning bör registreras separat i denna arketyp.

De uppgifter som registreras kan vidarebefordras till vätskebalans-beräkningar.

Ett vätskebalansdiagram kräver vanligtvis en kombination av flera registreringar av denna arketyp samt flera av OBSERVATION.fluid_input-arketypen för att fånga alla olika intagen och utsöndringar samt en registrering av OBSERVATION.fluid_balance för den totala vätskestatusen.
">
			keywords = <"vätska", "balans", "utsöndring", "urin", "kräkning", "drän", "dränageåtgärd", "aspiration", "exsudat", "förlust">
			misuse = <"Ska inte användas för att registrera vätskeintaget. Använd OBSERVATION.fluid_input för det ändamålet.

Ska inte användas för vätskebalans-beräkningar eller för beräkningar av *perspiratio insensibilis*. Använd observation. fluid_balance för det ändamålet.

Ska inte användas för vätskebalans-beräkningar eller för beräkningar av *perspiratio insensibilis*. Använd OBSERVATION.fluid_balance för det ändamålet.
">
		>
		["es-ar"] = <
			language = <[ISO_639-1::es-ar]>
			purpose = <"Registro de detalles acerca de la medición de fluidos perdidos o excretados por cualquier vía.">
			use = <"Utilizado para el registro de detalles acerca de la medición de fluidos perdidos o excretados por cualquier vía.

Este arquetipo será utilizado para el registro de detalles acerca de:
- la medición de cada egreso individual de fluido, como por ejemplo el volumen de cada vómito; o
- el egreso total de fluido de una fuente original en un período especificado de tiempo, como por ejemplo el egreso total de orina en las ocho horas de un turno de enfermería.

Cada medición de fluido debe ser registrada utilizando una instancia separada de este arquetipo.

Los detalles registrados utilizando este arquetipo pueden proveer información para el cálculo de balances de fluidos.

Una gráfica de balance de fluidos típicamente requerirá una combinación de múltiples instancias del arquetipo OBSERVATION.fluid_input para capturar los diversos ingresos y egresos, sumando a un instancia única de OBSERVATION.fluid_balance para el registro del estado general de los fluidos.">
			keywords = <"fluido", "balance", "egreso", "orina", "vómito", "drenaje", "drenado", "aspirado", "exudado", "pérdida">
			misuse = <"No debe utilizarse para el registro de ingreso de fluidos. Para dicho propósito debe utilizarse OBSERVATION.fluid_input .

No debe utilizarse para registrar el balance de fluidos calculado o de las pérdidas insensibles de fluido. Utilizar OBSERVATION.fluid_balance para dicho propósito.">
		>
		["nb"] = <
			language = <[ISO_639-1::nb]>
			purpose = <"For å registrere detaljer om målt væsketap, uansett mekanisme.">
			use = <"Brukes for å registrere detaljer om målt væsketap, uavhengig av mekanisme.

Denne arketypen skal brukes for å registrere detaljer om:
- hver enkel måling av et væsketap, for eksempel mengden av hver oppkast, eller
- den totale mengden væsketap fra en enkelt kilde i en spesifisert periode, for eksempel den totale mengden diurese i løpet av en vakt. 

De registrerte detaljene i denne væsketap-arketypen kan overføres til et skjema for væskebalanse.

For hver enkelt måling man registrerer bør man bruke en separat instans av denne arketypen. 

Et skjema for væskebalanse vil vanligvis bestå av en kombinasjon av flere instanser av både OBSERVATION.fluid_input (Norsk: Væskeinntak) og OBSERVATION.fluid_output (Norsk: Væsketap) for å fange opp alt av inntak og væsketap, pluss en enkelt instans av OBSERVATION.fluid_balance for å registrere den overordnede væskebalansen.">
			keywords = <"væske", "inn/ut", "væskebalanse", "væsketap", "urin", "oppkast", "drensvæske", "aspirat", "eksudat", "tap", "transpirasjon", "svette", "avføring", "sårvæske">
			misuse = <"Skal ikke brukes for å registrere væskeinntak. Bruk OBSERVATION.fluid_input (Væskeinntak) til dette. 

Skal ikke brukes for å registrere væskebalanse, eller utregning av perspiratio. Bruk OBSERVATION.fluid_balance (Væskebalanse) til dette.">
		>
		["sl"] = <
			language = <[ISO_639-1::sl]>
			purpose = <"*To record details of fluid input, often used as part of fluid balance estimation.(en)">
			use = <"*Use to record details of fluid input as part of routine nursing care.

Use to record details of individual fluid input activities, in order to allow fluid balance estimations. For example: \"Oral\", \"Cup of Tea\", 220ml; or 1 litre Normal Saline infusion.

May also be used to record descriptive assessments of input.

(en)">
			keywords = <"*fluid(en)", "*fluid balance(en)", "*input output(en)", "*io(en)", "*input(en)">
			misuse = <"*Do not use as a primary record of the administration of fluids e.g intravascular, dialyisis. May be used alongside administration recrods ,normally an ACTION.(en)">
			copyright = <"© Australian Digital Health Agency, openEHR Foundation, Nasjonal IKT HF">
		>
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"To record details about measured blood loss loss via any mechanism.">
			use = <"Use to record details about measured fluids lost or excreted via any mechanism.

This archetype will be used to record details about:
- each single measurement, for example the volume of each bleeding event from a single source; or
- the total amount of bleeding over a specified period of time, for example the blood loss over an 8 hour nursing shift.

Each fluid measurement should be recorded using a separate instance of this archetype.

Each separate source of blood loss may be recorded using a separate instance of this archetype.

The details recorded using this blood loss archetype may inform fluid balance calculations.">
			keywords = <"fluid", "balance", "output", "drain", "drainage", "bleeding", "exsanguination", "hypovolaemia">
			misuse = <"Not to be used to record fluid input. Use OBSERVATION.fluid_input for this purpose.

Not to be used to record fluid balance calculations or to record the calculation of insensible fluid loss. Use OBSERVATION.fluid_balance for this purpose.">
			copyright = <"© Australian Digital Health Agency, openEHR Foundation, Nasjonal IKT HF">
		>
	>
	lifecycle_state = <"in_development">
	other_contributors = <"Tomas Alme, DIPS, Norway", "Vebjørn Arntzen, Oslo University Hospital, Norway (openEHR Editor)", "Silje Ljosland Bakke, Nasjonal IKT HF, Norway (openEHR Editor)", "Marcus Baw, openGPSoC / BawMedical Ltd, United Kingdom", "Ingeborg Berge, Direktoratet for e-helse, Norway", "Kristian Berg, Vestvågøy kommune - Fagutviklingsavdelingen, Norway", "SB Bhattacharyya, Sudisa Consultancy Services, India", "Bjørn Christensen, Helse Bergen HF, Norway", "Stephen Chu, NEHTA, Australia", "Stig Erik Hegrestad, Helse Førde, Norway", "Hildegard Franke, freshEHR Clinical Informatics Ltd., United Kingdom", "Mikkel Gaup Grønmo, FSE, Helse Nord, Norway", "Christian Ghan, The Chris O'Brien Lifehouse at RPA, Australia", "Heather Grain, Llewelyn Grain Informatics, Australia", "Cecilie Graver, Oslo universitetssykehus HF, Norway", "Sam Heard, Ocean Informatics, Australia (Editor)", "Ingrid Heitmann, Oslo universitetssykehus HF, Norway", "Annette Hole Sjøborg, DIPS ASA, Norway", "Hilde Hollås, DIPS ASA, Norway", "Oliver Hosking, Remote Health NT, Australia", "Evelyn Hovenga, EJSH Consulting, Australia", "Lars Ivar Mehlum, Helse Bergen HF, Norway", "Tom Jarl Jakobsen, Helse Bergen, Norway", "Lars Morgan Karlsen, DIPS ASA, Norway", "Harmony Kosola, Alberta Health Services, Canada", "Anne Kristin Strand, Sykehuspartner HF, Norway", "Heather Leslie, Atomica Informatics, Australia", "Pedro Leuschner, Centro Hospitalar do Porto, Portugal", "Marit Ludvigsen, St Olavs Hospital, Norway", "Hallvard Lærum, Direktoratet for e-helse, Norway", "Siv Marie Lien, DIPS ASA, Norway", "Ian McNicoll, freshEHR Clinical Informatics, United Kingdom", "Andrej Orel, Marand d.o.o., Slovenia", "Anne Pauline Anderssen, Helse Nord RHF, Norway", "Vladimir Pizzo, Hospital Sírio Libanês, Brazil", "Navin Ramachandran, NHS, United Kingdom", "Tanja Riise, Nasjonal IKT HF, Norway", "Fabian Schwarz, NT Health, Australia", "Anoop Shah, University College London, United Kingdom", "Gary Sinclair, NT DoH, Australia", "Iztok Stotl, UKCLJ, Slovenia", "Roy Støle, OUS, Norway", "Norwegian Review Summary, Nasjonal IKT HF, Norway", "Nyree Taylor, Ocean Informatics, Australia", "Tesfay Teame, Folkehelseinstittutet, Norway", "Rowan Thomas, St. Vincent's Hospital Melbourne, Australia", "Stian Torleif Varpe, Helse Bergen, Norway", "Gro-Hilde Ulriksen, Norwegian center for ehealthresearch, Norway", "John Tore Valand, Helse Bergen, Norway (openEHR Editor)">
	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"] = <"Fluid Output, Draft Archetype [Internet]. Australian Digital Health Agency, Australian Digital Health Agency Clinical Knowledge Manager [cited: 2017-05-04]. Available from: http://dcm.nehta.org.au/ckm/#showArchetype_1013.1.1204.">
		["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"] = <"0F684951213ADBA2EAB0423C8F80C30D">
		["build_uid"] = <"ca41a4da-e6be-4415-8a88-926751403eba">
		["revision"] = <"0.0.1-alpha">
	>

definition
	OBSERVATION[at0000.1] matches {    -- Blood loss
		data matches {
			HISTORY[at0001] matches {    -- Event Series
				events cardinality matches {1..*; unordered} matches {
					EVENT[at0002] occurrences matches {0..*} matches {    -- Any event
						data matches {
							ITEM_TREE[at0003] matches {    -- List
								items cardinality matches {1..*; unordered} matches {
									ELEMENT[at0036.1] occurrences matches {0..1} matches {    -- Fluid name
										value matches {
											DV_CODED_TEXT matches {
												defining_code matches {
													[local::at0.1]    -- Blood
												}
											}
										}
									}
									ELEMENT[at0041] occurrences matches {0..1} matches {    -- Source
										value matches {
											DV_TEXT matches {*}
										}
									}
									ELEMENT[at0035] occurrences matches {0..1} matches {    -- Volume
										value matches {
											C_DV_QUANTITY <
												property = <[openehr::129]>
												list = <
													["1"] = <
														units = <"ml">
														magnitude = <|>=0.0|>
													>
													["2"] = <
														units = <"l">
														magnitude = <|>=0.0|>
														precision = <|3|>
													>
													["3"] = <
														units = <"[foz_us]">
														magnitude = <|>=0.0|>
													>
												>
											>
										}
									}
									allow_archetype CLUSTER[at0038] occurrences matches {0..*} matches {    -- Fluid details
										include
											archetype_id/value matches {/.*/}
									}
									ELEMENT[at0032] occurrences matches {0..1} matches {    -- Comment
										value matches {
											DV_TEXT matches {*}
										}
									}
									ELEMENT[at0.2] occurrences matches {0..1} matches {    -- Blood clots?
										value matches {
											DV_CODED_TEXT matches {
												defining_code matches {
													[local::
													at0.3,    -- Present
													at0.4]    -- Absent
												}
											}
										}
									}
								}
							}
						}
					}
				}
			}
		}
		protocol matches {
			ITEM_TREE[at0008] matches {    -- List
				items cardinality matches {0..*; unordered} matches {
					ELEMENT[at0031] occurrences matches {0..1} matches {    -- Method
						value matches {
							DV_CODED_TEXT matches {
								defining_code matches {
									[local::
									at0018,    -- Estimated
									at0019]    -- Measured
								}
							}
						}
					}
					allow_archetype CLUSTER[at0033] occurrences matches {0..1} matches {    -- Output device
						include
							archetype_id/value matches {/openEHR-EHR-CLUSTER\.device(-[a-zA-Z0-9_]+)*\.v1/}
						exclude
							archetype_id/value matches {/.*/}
					}
					allow_archetype CLUSTER[at0028] occurrences matches {0..1} matches {    -- Measurement device
						include
							archetype_id/value matches {/openEHR-EHR-CLUSTER\.device(-[a-zA-Z0-9_]+)*\.v1/}
						exclude
							archetype_id/value matches {/.*/}
					}
					allow_archetype CLUSTER[at0040] occurrences matches {0..*} matches {    -- Extension
						include
							archetype_id/value matches {/.*/}
					}
				}
			}
		}
	}


ontology
	term_definitions = <
		["en"] = <
			items = <
				["at0000.1"] = <
					text = <"Blood loss">
					description = <"The measurement of blood loss from the body via any mechanism.">
				>
				["at0036.1"] = <
					text = <"Fluid name">
					description = <"Identification of the fluid lost or excreted.">
					comment = <"For example: urine or vomit. Coding of fluid name with a terminology is preferred, if possible.">
				>
				["at0.1"] = <
					text = <"Blood">
					description = <"Fluid loss from the body as a result of bleeding.">
				>
				["at0.2"] = <
					text = <"Blood clots?">
					description = <"Description the presence or absence of blood clots.">
				>
				["at0.3"] = <
					text = <"Present">
					description = <"Blood clots were present.">
				>
				["at0.4"] = <
					text = <"Absent">
					description = <"Blood clots were not present.">
				>
				["at0000"] = <
					text = <"Fluid output">
					description = <"The measurement of fluid lost or excreted from the body via any mechanism.">
				>
				["at0001"] = <
					text = <"Event Series">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Any event">
					description = <"Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.">
				>
				["at0003"] = <
					text = <"List">
					description = <"@ internal @">
				>
				["at0008"] = <
					text = <"List">
					description = <"@ internal @">
				>
				["at0018"] = <
					text = <"Estimated">
					description = <"The fluid volume has been estimated.">
				>
				["at0019"] = <
					text = <"Measured">
					description = <"The fluid volume has been directly measured.">
				>
				["at0028"] = <
					text = <"Measurement device">
					description = <"Details of the device used to measure the fluid output.">
					comment = <"For example: Urinary drainage bag.">
				>
				["at0031"] = <
					text = <"Method">
					description = <"The approach used to quantify the volume of fluid.">
				>
				["at0032"] = <
					text = <"Comment">
					description = <"Additional narrative about the fluid output not captured in other fields.">
				>
				["at0033"] = <
					text = <"Output device">
					description = <"Details of the device that was used to collect the fluid.">
					comment = <"For example: a urinary catheter or a drain tube.">
				>
				["at0035"] = <
					text = <"Volume">
					description = <"The volume of fluid.">
					comment = <"If absorbant material, such as diapers and dressings, are weighed as part of managing fluid loss estimates, the weight will need to be converted to a volume for recording.">
				>
				["at0036"] = <
					text = <"Fluid name">
					description = <"Identification of the fluid lost or excreted.">
					comment = <"For example: urine or vomit. Coding of fluid name with a terminology is preferred, if possible.">
				>
				["at0038"] = <
					text = <"Fluid details">
					description = <"Additional details about the fluid, including macroscopic appearance or other tests not currently captured in the structured data.">
					comment = <"For example: the colour of the urine.
">
				>
				["at0040"] = <
					text = <"Extension">
					description = <"Additional information required to capture local content or to align with other reference models/formalisms.">
					comment = <"e.g. Local information requirements or additional metadata to align with FHIR or CIMI equivalents.">
				>
				["at0041"] = <
					text = <"Source">
					description = <"The source from which the fluid is lost or excreted.">
					comment = <"For example: drain tube; urinary catheter or nasopharyngal tube. In a clinical application, if the same type of fluid is being observed from two or more sources such as multiple drains from the same wound, the source may be described as “Drain tube 1” and “Drain tube 2”. Coding of the source with a terminology is preferred, where possible.">
				>
			>
		>
		["sl"] = <
			items = <
				["at0000.1"] = <
					text = <"*Fluid output(en)">
					description = <"*The measurement of fluid lost or excreted from the body via any mechanism.(en)">
				>
				["at0036.1"] = <
					text = <"*Fluid name(en)">
					description = <"*Identification of the fluid lost or excreted.(en)">
					comment = <"*For example: urine or vomit.(en)">
				>
				["at0.1"] = <
					text = <"*Blood (en)">
					description = <"*Fluid loss from the body as a result of bleeding from a wound or in childbirth. (en)">
				>
				["at0.2"] = <
					text = <"*Blood clots? (en)">
					description = <"*Description the presence or absence of blood clots. (en)">
				>
				["at0.3"] = <
					text = <"*Present (en)">
					description = <"*Blood clots were present. (en)">
				>
				["at0.4"] = <
					text = <"*Absent (en)">
					description = <"*Blood clots were not present. (en)">
				>
				["at0000"] = <
					text = <"*Fluid output(en)">
					description = <"*The measurement of fluid lost or excreted from the body via any mechanism.(en)">
				>
				["at0001"] = <
					text = <"*Event Series(en)">
					description = <"*@ internal @(en)">
				>
				["at0002"] = <
					text = <"*Any event(en)">
					description = <"*Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.(en)">
				>
				["at0003"] = <
					text = <"*List(en)">
					description = <"*@ internal @(en)">
				>
				["at0008"] = <
					text = <"*List(en)">
					description = <"*@ internal @(en)">
				>
				["at0018"] = <
					text = <"*Estimated(en)">
					description = <"*The fluid volume has been estimated.(en)">
				>
				["at0019"] = <
					text = <"*Measured(en)">
					description = <"*The fluid volume has been directly measured.(en)">
				>
				["at0028"] = <
					text = <"*Measurement device(en)">
					description = <"*Details of device used to measure the fluid output.(en)">
					comment = <"*For example: Urinary drainage bag.(en)">
				>
				["at0031"] = <
					text = <"*Method(en)">
					description = <"*The approach used to quantify the volume of fluid.(en)">
				>
				["at0032"] = <
					text = <"*Comment(en)">
					description = <"*Additional narrative about the fluid output not captured in other fields.(en)">
				>
				["at0033"] = <
					text = <"*Output device(en)">
					description = <"*Details of the device that was used to collect the fluid.(en)">
					comment = <"*For example: a urinary catheter or a drain tube.(en)">
				>
				["at0035"] = <
					text = <"*Volume(en)">
					description = <"*The volume of fluid.(en)">
					comment = <"*If absorbant material, such as diapers and dressings, are weighed as part of managing fluid loss estimates, the weight will need to be converted to a volume for recording.(en)">
				>
				["at0036"] = <
					text = <"*Fluid name(en)">
					description = <"*Identification of the fluid lost or excreted.(en)">
					comment = <"*For example: urine or vomit.(en)">
				>
				["at0038"] = <
					text = <"*Fluid details(en)">
					description = <"*Additional details about the fluid, including macroscopic appearance or other tests not currently captured in the structured data.(en)">
					comment = <"*For example: the colour of the urine.
(en)">
				>
				["at0040"] = <
					text = <"*Cluster(en)">
					description = <"**(en)">
				>
				["at0041"] = <
					text = <"*Source(en)">
					description = <"*The source from which the fluid is lost or excreted.(en)">
					comment = <"*For example: drain tube; urinary catheter or nasopharyngal tube. In a clinical application, if the same type of fluid is being observed from two or more sources such as multiple drains from the same wound, the source may be described as “Drain tube 1” and “Drain tube 2”. Coding of the source with a terminology is preferred, where possible. (en)">
				>
			>
		>
		["nb"] = <
			items = <
				["at0000.1"] = <
					text = <"Væsketap">
					description = <"Målingen av væske som er utskilt eller utsondret fra kroppen, uavhengig av mekanisme.">
				>
				["at0036.1"] = <
					text = <"Navn på væsken">
					description = <"Identifisering av væsken som er utskilt.">
					comment = <"For eksempel urin eller oppkast. Væskenavn bør kodes med en terminologi om mulig.">
				>
				["at0.1"] = <
					text = <"*Blood (en)">
					description = <"*Fluid loss from the body as a result of bleeding from a wound or in childbirth. (en)">
				>
				["at0.2"] = <
					text = <"*Blood clots? (en)">
					description = <"*Description the presence or absence of blood clots. (en)">
				>
				["at0.3"] = <
					text = <"*Present (en)">
					description = <"*Blood clots were present. (en)">
				>
				["at0.4"] = <
					text = <"*Absent (en)">
					description = <"*Blood clots were not present. (en)">
				>
				["at0000"] = <
					text = <"Væsketap">
					description = <"Målingen av væske som er utskilt eller utsondret fra kroppen, uavhengig av mekanisme.">
				>
				["at0001"] = <
					text = <"Event Series">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Uspesifisert hendelse">
					description = <"Standard, uspesifisert tidspunkt eller tidsintervall som kan defineres mer eksplisitt i en template eller i en applikasjon.">
				>
				["at0003"] = <
					text = <"List">
					description = <"@ internal @">
				>
				["at0008"] = <
					text = <"List">
					description = <"@ internal @">
				>
				["at0018"] = <
					text = <"Estimert">
					description = <"Mengden væsketap er estimert.">
				>
				["at0019"] = <
					text = <"Målt">
					description = <"Mengden væsketap er direkte observert og målt.">
				>
				["at0028"] = <
					text = <"Måleutstyr">
					description = <"Detaljer om måleutstyret som er brukt for å måle væsketapet.">
					comment = <"For eksempel drenpose, timediuresesett, urinflaske eller vekt.">
				>
				["at0031"] = <
					text = <"Målemetode">
					description = <"Metoden man har brukt til å kvantifisere mengden av væske.">
				>
				["at0032"] = <
					text = <"Kommentar">
					description = <"Ytterligere fritekst om væsketapet som ikke er registrert i andre felt.">
				>
				["at0033"] = <
					text = <"Utstyr">
					description = <"Detaljer om utstyret man har brukt til å samle væsken.">
					comment = <"For eksempel urinkateter, sårdren, absorpsjonskompress eller bleie.">
				>
				["at0035"] = <
					text = <"Mengde">
					description = <"Mengden væske som er utskilt.">
					comment = <"Dersom man veier et absorberende materiale, som bleie eller kompress for å anslå mengden væske, må man konvertere fra vektenhet til væskeenhet ved registrering.">
				>
				["at0036"] = <
					text = <"Navn på væsken">
					description = <"Identifisering av væsken som er utskilt.">
					comment = <"For eksempel urin eller oppkast. Væskenavn bør kodes med en terminologi om mulig.">
				>
				["at0038"] = <
					text = <"Ytterligere detaljer om væsken">
					description = <"Ytterligere data om væsken, inkludert utseende eller annet som ikke fremkommer strukturert i andre elementer.">
					comment = <"For eksempel fargen på urin.">
				>
				["at0040"] = <
					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 eller CIMI.">
				>
				["at0041"] = <
					text = <"Kilde">
					description = <"Kilden væsken kommer fra.">
					comment = <"For eksempel dren, urinkateter eller ventrikkelsonde. Hvis samme type væske blir observert fra flere kilder - som flere dren fra samme sår, kan en i et klinisk system kalle kilden \"Dren 1\" og \"Dren 2\". Koding med en terminologi er ønskelig, der det er mulig.">
				>
			>
		>
		["es-ar"] = <
			items = <
				["at0000.1"] = <
					text = <"Egreso de fluido">
					description = <"La medición del fluido perdido o excretados del cuerpo por cualquier mecanismo.">
				>
				["at0036.1"] = <
					text = <"Denominación del fluido">
					description = <"Identificación del fluido eliminado o excretado.">
					comment = <"Por ejemplo: orina o vómito. Se prefiere la codificación del fluido mediante una terminología si esto es posible.">
				>
				["at0.1"] = <
					text = <"*Blood (en)">
					description = <"*Fluid loss from the body as a result of bleeding from a wound or in childbirth. (en)">
				>
				["at0.2"] = <
					text = <"*Blood clots? (en)">
					description = <"*Description the presence or absence of blood clots. (en)">
				>
				["at0.3"] = <
					text = <"*Present (en)">
					description = <"*Blood clots were present. (en)">
				>
				["at0.4"] = <
					text = <"*Absent (en)">
					description = <"*Blood clots were not present. (en)">
				>
				["at0000"] = <
					text = <"Egreso de fluido">
					description = <"La medición del fluido perdido o excretados del cuerpo por cualquier mecanismo.">
				>
				["at0001"] = <
					text = <"Event Series">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Cualquier evento">
					description = <"Punto en el tiempo o intervalo de un evento que puede ser explícitamente definido en una plantilla o en tiempo de ejecución, por defecto.">
				>
				["at0003"] = <
					text = <"List">
					description = <"@ internal @">
				>
				["at0008"] = <
					text = <"List">
					description = <"@ internal @">
				>
				["at0018"] = <
					text = <"Estimado">
					description = <"El volumen del fluido ha sido estimado.">
				>
				["at0019"] = <
					text = <"Medido">
					description = <"El volumen del fluido ha sido medido directamente.">
				>
				["at0028"] = <
					text = <"Dispositivo de medición">
					description = <"El dispositivo utilizado para medir el volumen del fluido.">
					comment = <"Por ejemplo: bolsa de orina.">
				>
				["at0031"] = <
					text = <"Método">
					description = <"El enfoque utilizado para cuantificar el volumen del fluido.">
				>
				["at0032"] = <
					text = <"Comentario">
					description = <"Narrativa adicional acerca del egreso de fluido que no haya sido capturada en otros campos.">
				>
				["at0033"] = <
					text = <"Dispositivo de egreso">
					description = <"Detalles del dispositivo utilizado para recolectar el líquido.">
					comment = <"Por ejemplo: un catéter urinario o un tubo de drenaje.">
				>
				["at0035"] = <
					text = <"Volumen">
					description = <"El volumen del fluido.">
					comment = <"Si se trata de un material absorbente como pañales o apósitos, se los pesa como parte de la estimación de la perdida del fluido y el peso debe ser convertido a volumen para su registro.">
				>
				["at0036"] = <
					text = <"Denominación del fluido">
					description = <"Identificación del fluido eliminado o excretado.">
					comment = <"Por ejemplo: orina o vómito. Se prefiere la codificación del fluido mediante una terminología si esto es posible.">
				>
				["at0038"] = <
					text = <"Detalles del fluido">
					description = <"Detalles adicionales del fluido, incluyendo el aspecto macroscópico u otros exámenes no registrados mediante datos estructurados.">
					comment = <"Por ejemplo: el color de la orina.">
				>
				["at0040"] = <
					text = <"Extensión">
					description = <"Información adicional requerida para la captura de contenido locales o el alineamiento con otros modelos o formalismos de referencia.">
					comment = <"Ej.: Requerimientos locales de información o metadatos adicionales para el alineamiento con FHIR, CIMI o equivalentes.">
				>
				["at0041"] = <
					text = <"Fuente">
					description = <"La fuente de pérdida o excreción del fluido.">
					comment = <"Por ejemplo: tubo de drenaje; catéter urinario o nasofaringeo. En una aplicación clínica, si el mismo tipo de fluido esta siendo observado a partir de dos o mas fuentes, como en el caso de drenajes múltiples de una misma herida, la fuente será descrita como \"tubo de drenaje 1\" y \"tubo de drenaje 2\". Se codificará la fuente mediante una terminología si esto es posible.">
				>
			>
		>
		["sv"] = <
			items = <
				["at0000.1"] = <
					text = <"Vätskeutsöndring">
					description = <"Mätning av vätska som förloras eller utsöndras från kroppen via någon mekanism.">
				>
				["at0036.1"] = <
					text = <"Vätskenamn">
					description = <"Identifiering av den vätska som försvinner eller utsöndras.">
					comment = <"Exempelvis: urin eller kräkning. Kodning av vätskenamn med en terminologi är att föredra, om möjligt.">
				>
				["at0.1"] = <
					text = <"*Blood (en)">
					description = <"*Fluid loss from the body as a result of bleeding from a wound or in childbirth. (en)">
				>
				["at0.2"] = <
					text = <"*Blood clots? (en)">
					description = <"*Description the presence or absence of blood clots. (en)">
				>
				["at0.3"] = <
					text = <"*Present (en)">
					description = <"*Blood clots were present. (en)">
				>
				["at0.4"] = <
					text = <"*Absent (en)">
					description = <"*Blood clots were not present. (en)">
				>
				["at0000"] = <
					text = <"Vätskeutsöndring">
					description = <"Mätning av vätska som förloras eller utsöndras från kroppen via någon mekanism.">
				>
				["at0001"] = <
					text = <"Event Series">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Ospecificerad händelse">
					description = <"Standardval, händelse i ospecificerad tidpunkt eller intervall som explicit kan definieras i en mall eller vid körning av program.">
				>
				["at0003"] = <
					text = <"List">
					description = <"@ internal @">
				>
				["at0008"] = <
					text = <"List">
					description = <"@ internal @">
				>
				["at0018"] = <
					text = <"Uppskattad">
					description = <"Vätskevolymen är uppskattad.">
				>
				["at0019"] = <
					text = <"Uppmätt">
					description = <"Vätskevolymen har uppmätts direkt.">
				>
				["at0028"] = <
					text = <"Mätutrustning">
					description = <"Information om den utrustning som används för att mäta vätskeutsöndringen.">
					comment = <"Exempelvis: Dräneringspåse för urin.">
				>
				["at0031"] = <
					text = <"Metod">
					description = <"Den metod som används för att mäta volymen av vätska.">
				>
				["at0032"] = <
					text = <"Kommentar">
					description = <"Ytterligare beskrivning om vätskeproduktionen som inte tagits med i andra fält.">
				>
				["at0033"] = <
					text = <"Utsöndringsutrustning">
					description = <"Information om den utrustning som användes för att samla ihop vätskan.">
					comment = <"Exempelvis: en urinkateter eller ett dränrör.">
				>
				["at0035"] = <
					text = <"Volym">
					description = <"Vätskans volym.">
					comment = <"Om absorberande material, såsom blöjor och omslag, vägs som en del i hanteraringen av vätskeförlust-beräkningar, kommer vikten att behöva omvandlas till en volym för registrering.">
				>
				["at0036"] = <
					text = <"Vätskenamn">
					description = <"Identifiering av den vätska som försvinner eller utsöndras.">
					comment = <"Exempelvis: urin eller kräkning. Kodning av vätskenamn med en terminologi är att föredra, om möjligt.">
				>
				["at0038"] = <
					text = <"Vätskedetaljer">
					description = <"Ytterligare information om vätskan, inklusive makroskopiskt utseende eller andra tester som för närvarande inte inkluderats i strukturerade data.">
					comment = <"Exempelvis: färgen på urinen.">
				>
				["at0040"] = <
					text = <"Extra information">
					description = <"Ytterligare information som krävs för att samla in lokalt innehåll eller för anpassning till andra referens modeller och formalismer.">
					comment = <"Exempelvis lokala informationskrav eller ytterligare metadata för anpassning till FHIR- eller CIMI-motsvarigheter.">
				>
				["at0041"] = <
					text = <"Källa">
					description = <"Källan från vilken vätskan försvinner eller utsöndras. 
">
					comment = <"Exempelvis: dränrör, urinkateter eller *nasofaryngeal-rör*. I klinisk tillämpning, om samma typ av vätska observeras från två eller flera källor såsom flera dränage från samma sår, kan källan beskrivas som \"Dränrör 1\" och \"Dranrör 2\". Kodning av källa med en terminologi föredras där det är möjligt.">
				>
			>
		>
	>