openehr 1.1.1 → 1.1.2

Sign up to get free protection for your applications and to get access to all the features.
@@ -0,0 +1,454 @@
1
+ archetype (adl_version=1.4)
2
+ openEHR-EHR-OBSERVATION.operation_record.v1
3
+
4
+ concept
5
+ [at0000] -- Operation Record
6
+ language
7
+ original_language = <[ISO_639-1::en]>
8
+ description
9
+ original_author = <
10
+ ["name"] = <"unknown">
11
+ >
12
+ details = <
13
+ ["en"] = <
14
+ language = <[ISO_639-1::en]>
15
+ purpose = <"To record details pertaining to open or keyhole operation performed">
16
+ use = <"">
17
+ misuse = <"">
18
+ copyright = <"© openEHR Foundation">
19
+ >
20
+ >
21
+ lifecycle_state = <"AuthorDraft">
22
+ other_contributors = <>
23
+ other_details = <
24
+ ["references"] = <"">
25
+ >
26
+
27
+ definition
28
+ OBSERVATION[at0000] matches { -- Operation Record
29
+ data matches {
30
+ HISTORY[at0001] matches { -- Event Series
31
+ events cardinality matches {1..*; unordered} matches {
32
+ EVENT[at0002] occurrences matches {0..1} matches { -- Any event
33
+ data matches {
34
+ ITEM_TREE[at0003] matches { -- Tree
35
+ items cardinality matches {0..*; unordered} matches {
36
+ CLUSTER[at0004] occurrences matches {0..1} matches { -- Incision
37
+ items cardinality matches {0..*; unordered} matches {
38
+ ELEMENT[at0009] occurrences matches {0..1} matches { -- Skin incision
39
+ value matches {
40
+ DV_TEXT matches {*}
41
+ DV_CODED_TEXT matches {
42
+ defining_code matches {
43
+ [local::
44
+ at0010, -- Midline
45
+ at0011, -- Transverse
46
+ at0012] -- Classical
47
+ }
48
+ }
49
+ }
50
+ }
51
+ ELEMENT[at0014] occurrences matches {0..1} matches { -- Location of incision
52
+ value matches {
53
+ DV_TEXT matches {*}
54
+ }
55
+ }
56
+ ELEMENT[at0013] occurrences matches {0..1} matches { -- Time of knife to skin
57
+ value matches {
58
+ DV_DATE_TIME matches {
59
+ value matches {yyyy-??-??T??:??:??}
60
+ }
61
+ }
62
+ }
63
+ ELEMENT[at0054] occurrences matches {0..1} matches { -- Comment
64
+ value matches {
65
+ DV_TEXT matches {*}
66
+ }
67
+ }
68
+ }
69
+ }
70
+ CLUSTER[at0037] occurrences matches {0..*} matches { -- Operative details
71
+ items cardinality matches {0..*; unordered} matches {
72
+ ELEMENT[at0036] occurrences matches {0..1} matches { -- Overall Technique
73
+ value matches {
74
+ DV_TEXT matches {*}
75
+ }
76
+ }
77
+ CLUSTER[at0047] occurrences matches {0..1} matches { -- Details of surgery performed
78
+ items cardinality matches {0..*; unordered} matches {
79
+ ELEMENT[at0044] occurrences matches {0..1} matches { -- Approach
80
+ value matches {
81
+ DV_TEXT matches {*}
82
+ }
83
+ }
84
+ ELEMENT[at0049] occurrences matches {0..1} matches { -- Method
85
+ value matches {
86
+ DV_CODED_TEXT matches {
87
+ defining_code matches {[local::]}
88
+ }
89
+ }
90
+ }
91
+ ELEMENT[at0045] occurrences matches {0..1} matches { -- Description
92
+ value matches {
93
+ DV_CODED_TEXT matches {
94
+ defining_code matches {[local::]}
95
+ }
96
+ }
97
+ }
98
+ ELEMENT[at0050] occurrences matches {0..1} matches { -- Comment
99
+ value matches {
100
+ DV_CODED_TEXT matches {
101
+ defining_code matches {[local::]}
102
+ }
103
+ }
104
+ }
105
+ }
106
+ }
107
+ CLUSTER[at0042] occurrences matches {0..*} matches { -- Haemostasis
108
+ items cardinality matches {0..*; unordered} matches {
109
+ ELEMENT[at0043] occurrences matches {0..*} matches { -- Method
110
+ value matches {
111
+ DV_TEXT matches {*}
112
+ }
113
+ }
114
+ ELEMENT[at0046] occurrences matches {0..1} matches { -- Comment
115
+ value matches {
116
+ DV_CODED_TEXT matches {
117
+ defining_code matches {[local::]}
118
+ }
119
+ }
120
+ }
121
+ }
122
+ }
123
+ CLUSTER[at0052] occurrences matches {0..*} matches { -- Operation-specific details
124
+ items cardinality matches {0..*; unordered} matches {
125
+ allow_archetype CLUSTER[at0055] occurrences matches {0..1} matches {
126
+ include
127
+ archetype_id/value matches {/.*/}
128
+ }
129
+ ELEMENT[at0053] occurrences matches {0..1} matches { -- Comment
130
+ value matches {
131
+ DV_TEXT matches {*}
132
+ }
133
+ }
134
+ }
135
+ }
136
+ ELEMENT[at0038] occurrences matches {0..1} matches { -- Comment
137
+ value matches {
138
+ DV_TEXT matches {*}
139
+ }
140
+ }
141
+ }
142
+ }
143
+ CLUSTER[at0005] occurrences matches {0..1} matches { -- Closure
144
+ items cardinality matches {0..*; unordered} matches {
145
+ ELEMENT[at0015] occurrences matches {0..1} matches { -- Number of Closure layers
146
+ value matches {
147
+ DV_COUNT matches {*}
148
+ }
149
+ }
150
+ CLUSTER[at0016] occurrences matches {0..*} matches { -- Layer closure detail
151
+ items cardinality matches {0..*; unordered} matches {
152
+ ELEMENT[at0017] occurrences matches {0..1} matches { -- Layer
153
+ value matches {
154
+ DV_CODED_TEXT matches {
155
+ defining_code matches {
156
+ [local::
157
+ at0020, -- Peritoneum
158
+ at0021, -- Sheath
159
+ at0022, -- Fat
160
+ at0023] -- Skin
161
+ }
162
+ }
163
+ DV_TEXT matches {*}
164
+ }
165
+ }
166
+ ELEMENT[at0018] occurrences matches {0..1} matches { -- Method of closure
167
+ value matches {
168
+ DV_CODED_TEXT matches {
169
+ defining_code matches {
170
+ [local::
171
+ at0024, -- Suture - continuous
172
+ at0025, -- Staples
173
+ at0026, -- Suture - subcutaneous
174
+ at0027] -- Suture - interrupted
175
+ }
176
+ }
177
+ }
178
+ }
179
+ ELEMENT[at0019] occurrences matches {0..1} matches { -- Material used
180
+ value matches {
181
+ DV_TEXT matches {*}
182
+ }
183
+ }
184
+ ELEMENT[at0030] occurrences matches {0..1} matches { -- Comment
185
+ value matches {
186
+ DV_TEXT matches {*}
187
+ }
188
+ }
189
+ }
190
+ }
191
+ CLUSTER[at0032] occurrences matches {0..1} matches { -- Drains
192
+ items cardinality matches {0..*; unordered} matches {
193
+ ELEMENT[at0034] occurrences matches {0..1} matches { -- Type
194
+ value matches {
195
+ DV_TEXT matches {*}
196
+ }
197
+ }
198
+ ELEMENT[at0033] occurrences matches {0..1} matches { -- Location
199
+ value matches {
200
+ DV_TEXT matches {*}
201
+ }
202
+ }
203
+ ELEMENT[at0035] occurrences matches {0..1} matches { -- Comment
204
+ value matches {
205
+ DV_CODED_TEXT matches {
206
+ defining_code matches {[local::]}
207
+ }
208
+ }
209
+ }
210
+ }
211
+ }
212
+ ELEMENT[at0051] occurrences matches {0..1} matches { -- Comment
213
+ value matches {
214
+ DV_TEXT matches {*}
215
+ }
216
+ }
217
+ }
218
+ }
219
+ CLUSTER[at0006] occurrences matches {0..1} matches { -- Intra-Operative Issues
220
+ items cardinality matches {0..*; unordered} matches {
221
+ ELEMENT[at0007] occurrences matches {0..1} matches { -- Complication
222
+ value matches {
223
+ DV_TEXT matches {*}
224
+ }
225
+ }
226
+ ELEMENT[at0008] occurrences matches {0..1} matches { -- Issue or difficulty
227
+ value matches {
228
+ DV_TEXT matches {*}
229
+ }
230
+ }
231
+ ELEMENT[at0031] occurrences matches {0..1} matches { -- Comment
232
+ value matches {
233
+ DV_TEXT matches {*}
234
+ }
235
+ }
236
+ }
237
+ }
238
+ }
239
+ }
240
+ }
241
+ }
242
+ }
243
+ }
244
+ }
245
+ }
246
+
247
+
248
+ ontology
249
+ term_definitions = <
250
+ ["en"] = <
251
+ items = <
252
+ ["at0000"] = <
253
+ text = <"Operation Record">
254
+ description = <"Record of details pertaining to open or keyhole operation performed">
255
+ >
256
+ ["at0001"] = <
257
+ text = <"Event Series">
258
+ description = <"@ internal @">
259
+ >
260
+ ["at0002"] = <
261
+ text = <"Any event">
262
+ description = <"*">
263
+ >
264
+ ["at0003"] = <
265
+ text = <"Tree">
266
+ description = <"@ internal @">
267
+ >
268
+ ["at0004"] = <
269
+ text = <"Incision">
270
+ description = <"*">
271
+ >
272
+ ["at0005"] = <
273
+ text = <"Closure">
274
+ description = <"*">
275
+ >
276
+ ["at0006"] = <
277
+ text = <"Intra-Operative Issues">
278
+ description = <"*">
279
+ >
280
+ ["at0007"] = <
281
+ text = <"Complication">
282
+ description = <"Identify any complications incurred in performing the surgery">
283
+ >
284
+ ["at0008"] = <
285
+ text = <"Issue or difficulty">
286
+ description = <"Identify any issue or difficulty faced during surgery">
287
+ >
288
+ ["at0009"] = <
289
+ text = <"Skin incision">
290
+ description = <"Details about skin incision">
291
+ >
292
+ ["at0010"] = <
293
+ text = <"Midline">
294
+ description = <"*">
295
+ >
296
+ ["at0011"] = <
297
+ text = <"Transverse">
298
+ description = <"*">
299
+ >
300
+ ["at0012"] = <
301
+ text = <"Classical">
302
+ description = <"*">
303
+ >
304
+ ["at0013"] = <
305
+ text = <"Time of knife to skin">
306
+ description = <"*">
307
+ >
308
+ ["at0014"] = <
309
+ text = <"Location of incision">
310
+ description = <"Location of incision">
311
+ >
312
+ ["at0015"] = <
313
+ text = <"Number of Closure layers">
314
+ description = <"*">
315
+ >
316
+ ["at0016"] = <
317
+ text = <"Layer closure detail">
318
+ description = <"*">
319
+ >
320
+ ["at0017"] = <
321
+ text = <"Layer">
322
+ description = <"Name of layer">
323
+ >
324
+ ["at0018"] = <
325
+ text = <"Method of closure">
326
+ description = <"Method of closure">
327
+ >
328
+ ["at0019"] = <
329
+ text = <"Material used">
330
+ description = <"Details about closure material">
331
+ >
332
+ ["at0020"] = <
333
+ text = <"Peritoneum">
334
+ description = <"*">
335
+ >
336
+ ["at0021"] = <
337
+ text = <"Sheath">
338
+ description = <"*">
339
+ >
340
+ ["at0022"] = <
341
+ text = <"Fat">
342
+ description = <"*">
343
+ >
344
+ ["at0023"] = <
345
+ text = <"Skin">
346
+ description = <"*">
347
+ >
348
+ ["at0024"] = <
349
+ text = <"Suture - continuous">
350
+ description = <"*">
351
+ >
352
+ ["at0025"] = <
353
+ text = <"Staples">
354
+ description = <"*">
355
+ >
356
+ ["at0026"] = <
357
+ text = <"Suture - subcutaneous">
358
+ description = <"*">
359
+ >
360
+ ["at0027"] = <
361
+ text = <"Suture - interrupted">
362
+ description = <"*">
363
+ >
364
+ ["at0030"] = <
365
+ text = <"Comment">
366
+ description = <"Additional comment about closure">
367
+ >
368
+ ["at0031"] = <
369
+ text = <"Comment">
370
+ description = <"Additional comment about operative issues">
371
+ >
372
+ ["at0032"] = <
373
+ text = <"Drains">
374
+ description = <"Detail about drains inserted">
375
+ >
376
+ ["at0033"] = <
377
+ text = <"Location">
378
+ description = <"Location of drain">
379
+ >
380
+ ["at0034"] = <
381
+ text = <"Type">
382
+ description = <"Type of drain">
383
+ >
384
+ ["at0035"] = <
385
+ text = <"Comment">
386
+ description = <"Comment about drains">
387
+ >
388
+ ["at0036"] = <
389
+ text = <"Overall Technique">
390
+ description = <"Details of operative technique performed">
391
+ >
392
+ ["at0037"] = <
393
+ text = <"Operative details">
394
+ description = <"*">
395
+ >
396
+ ["at0038"] = <
397
+ text = <"Comment">
398
+ description = <"Overall comment about the operation performed">
399
+ >
400
+ ["at0042"] = <
401
+ text = <"Haemostasis">
402
+ description = <"Details about haemostasis methods used">
403
+ >
404
+ ["at0043"] = <
405
+ text = <"Method">
406
+ description = <"Method of haemostasis">
407
+ >
408
+ ["at0044"] = <
409
+ text = <"Approach">
410
+ description = <"Surgical approach">
411
+ >
412
+ ["at0045"] = <
413
+ text = <"Description">
414
+ description = <"Details of surgery performed">
415
+ >
416
+ ["at0046"] = <
417
+ text = <"Comment">
418
+ description = <"*">
419
+ >
420
+ ["at0047"] = <
421
+ text = <"Details of surgery performed">
422
+ description = <"*">
423
+ >
424
+ ["at0049"] = <
425
+ text = <"Method">
426
+ description = <"Details of method performed">
427
+ >
428
+ ["at0050"] = <
429
+ text = <"Comment">
430
+ description = <"Comments about surgery performed">
431
+ >
432
+ ["at0051"] = <
433
+ text = <"Comment">
434
+ description = <"Comments about closure">
435
+ >
436
+ ["at0052"] = <
437
+ text = <"Operation-specific details">
438
+ description = <"Further details about operation that are very specific to purpose">
439
+ >
440
+ ["at0053"] = <
441
+ text = <"Comment">
442
+ description = <"Comment on operation-specific details">
443
+ >
444
+ ["at0054"] = <
445
+ text = <"Comment">
446
+ description = <"Comment about the incision and opening phase of surgical operation">
447
+ >
448
+ ["at0055"] = <
449
+ text = <"Any operation-specific details">
450
+ description = <"Cluster for further details about operation that are very specific to purpose">
451
+ >
452
+ >
453
+ >
454
+ >