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2 6 open_ehr archetypes instructions_actions

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Hildegard McNicoll
Ian McNicoll
openEHR Archetypes:
Instructions and Actions

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‘Clinical decision making process’

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INSTRUCTION archetypes
Orders that arise from clinical assessment
Initiation of workflow process
“I will order some blood ...

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2 6 open_ehr archetypes instructions_actions

  1. 1. Hildegard McNicoll Ian McNicoll openEHR Archetypes: Instructions and Actions
  2. 2. ‘Clinical decision making process’
  3. 3. INSTRUCTION archetypes Orders that arise from clinical assessment Initiation of workflow process “I will order some blood tests” “I would like you to start this medication” “I would like to refer you to a specialist” Lab test request, referral Medication order Nursing task
  4. 4. Service request, Draft Archetype [Internet]. openEHR Foundation, openEHR Clinical Knowledge Manager [cited: 2016-03-09]. Available from: http:// openehr.org/ckm/#showArchetype_1013.1.614
  5. 5. ENTRY sub-type features Provider Subject Data History Event Protocol State Activities Pathway OBSERVATIONS Yes Yes Yes Yes Yes EVALUATIONS Yes Yes Yes INSTRUCTIONS Yes Yes Yes Yes ACTIONS Yes Yes Yes Yes ADMIN_ENTRY Yes Yes
  6. 6. ENTRY sub-type features Provider Subject Data History Event Protocol State Activities Pathway OBSERVATIONS Yes Yes Yes Yes Yes EVALUATIONS Yes Yes Yes INSTRUCTIONS Yes Yes Yes Yes ACTIONS Yes Yes Yes Yes ADMIN_ENTRY Yes Yes
  7. 7. ENTRY: ’Activities’ feature Allows for multiple ‘chained’ sub-instructions All data embedded within Activities
  8. 8. ACTION archetypes Activities that result from an Instruction “Lab test performed” “Medication prescribed, administered” “Procedure performed" “Lab test tracking” “Medication supply”
  9. 9. ENTRY sub-type features Provider Subject Data History Event Protocol State Activities Pathway OBSERVATIONS Yes Yes Yes Yes Yes EVALUATIONS Yes Yes Yes INSTRUCTIONS Yes Yes Yes Yes ACTIONS Yes Yes Yes Yes ADMIN_ENTRY Yes Yes
  10. 10. ENTRY sub-type features Provider Subject Data History Event Protocol State Activities Pathway OBSERVATIONS Yes Yes Yes Yes Yes EVALUATIONS Yes Yes Yes INSTRUCTIONS Yes Yes Yes Yes ACTIONS Yes Yes Yes Yes ADMIN_ENTRY Yes Yes
  11. 11. ENTRY: ’Pathway’ feature Recording workflow status Procedure Planned, Scheduled, Active Completed Postponed, Suspended Cancelled, Aborted
  12. 12. Procedure, Published Archetype [Internet]. openEHR Foundation, openEHR Clinical Knowledge Manager [cited: 2016-03-09]. Available from: http://openehr.org/ckm/ #showArchetype_1013.1.204

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