ARCHETYPE ID | openEHR-EHR-INSTRUCTION.service_request.v1 |
Concept | Service request |
Description | Request for a health-related service or activity to be delivered by a clinician, organisation or agency. |
Use | Use to record a request for a health-related service or activity to be delivered by a clinician, organisation or agency. This generic archetype has been designed as a framework that can be used as the basis for a wide range of requests: - a request from one clinician, organisation or agency to another clinician, organisation or agency for a health-related service. For example: a referral to a specialist clinician for treatment or a second clinical opinion; transfer of care to an emergency department; four hourly vital signs monitoring; diagnostic investigations; and provision of home services from a municipal council; or - a request for a follow-up service to be scheduled for the same clinician, organisation or agency. For example: an outpatient appointment for review in 6 weeks. It can be used to represent a request for one or more services, in one of two ways: - If multiple services need to be requested and the information recorded in the 'protocol' (for example 'Receiver') is the same - use a separate 'Activity' instance within this archetype for each request. - If multiple services need to be requested and the information recorded in the 'protocol' (for example 'Receiver') is different - use a separate instance of this archetype for each request. The 'Service due' data element supports common use cases for stipulating the simple timing for delivery of the request/s on a single occasion. For situations with more complicated timing requirements or a series of services, use the CLUSTER.service_direction archetype within the 'Complex timing' SLOT. Implementation examples: - Consider a clinician referring a patient to an Endocrinologist for diabetes treatment advice - the 'Service name will be 'Referral'; the 'Clinical indication' will be 'Type 1 Diabetes Mellitus'; the 'Reason for request' may be 'Difficulty controlling early evening hyperglycaemia; the 'Clinical context' may contain a narrative about the duration and previous management of their diabetes, current treatment, plus recent weight gain and information about the recent death of their spouse; current treatment; 'Intent' may be 'Second opinion' or 'Handover of care'. - Consider a clinician ordering diabetes education - The 'Service name' will be 'Diabetes education'; the 'Clinical indication' will be 'Type 1 Diabetes Mellitus'; the 'Reason for request' may be 'New diagnosis' and 'Prevention of ketoacidosis'; and 'Clinical context' may be 'Newly diagnosed diabetic for initial education and instruction in insulin administration'. If delivery of the complete service requires more than one activity, such as 'four sessions at fortnightly intervals, commencing one week after discharge from hospital', use the CLUSTER.service_direction and associated CLUSTER.timing_nondaily archetype, nested within the 'Complex timing' SLOT. - Consider a clinician ordering a meal home-delivery service from the municipal council - the 'Service name' may be 'Meals on wheels program'; the 'Clinical indication' may be 'Emphysema'; the 'Reason for request' may be 'Unable to shop or cook independently'. The complex timing for this requires the use of the CLUSTER.service_direction and associated CLUSTER.timing_nondaily archetype nested within the 'Complex timing' SLOT to define the delivery requirements such as 'daily for 6 months'. - Consider a clinician ordering an ultrasound of the left leg to exclude a deep venous thrombosis - the 'Service name' will be 'Ultrasound left lower leg'; the 'Clinical indication' may be 'swollen left ankle'; the 'Reason for request' may be 'exclude DVT'; the 'Clinical context' may be 'gradually increasing pitting oedema to mid-calf in the left leg over the past 3 days'. - Consider a clinician ordering a recurring blood test, such as an INR. The complex timing for this requires the use of the CLUSTER.service_direction and associated CLUSTER.timing_nondaily archetype nested within the 'Complex timing' SLOT to clearly define the frequency and timing for each sequence in a series of tests, such as 'daily for one week, weekly for 4 weeks, monthly for 6 months'. - Consider a clinician ordering a follow-up appointment in 6 weeks. 'Follow-up appointment' will be the 'Service name'. If they enter '6 weeks' as the proposed timing for the appointment in the User Interface, the clinical system will record the date six weeks from today in the 'Service due' data element. In many situations, it will be possible to record the steps that occur as part of this request being carried out using the corresponding generic ACTION.service. However, there will be many occasions where the required ACTION archetype will be very specific for purpose, as the data requirements for recording provision of many health-related services will need quite unique data elements, recording patterns or pathway steps. For example: ACTION.screening or ACTION.health_education. |
Misuse | Not to be used to record details about the activities that document how an order or request has been carried out - use an ACTION archetype for this purpose. For example ACTION.service archetype or a more purpose-specific archetype from the ACTION class for this purpose. |
Purpose | A generic framework for a request for a health-related service or activity to be delivered by a clinician, organisation or agency. |
References | |
Copyright | © openEHR Foundation, Nasjonal IKT HF |
Authors | Author name: Dr Ian McNicoll Organisation: Ocean Informatics, United Kingdom Email: ian.mcnicoll@oceaninformatics.com Date originally authored: 2009-12-08 |
Other Details Language | Author name: Dr Ian McNicoll Organisation: Ocean Informatics, United Kingdom Email: ian.mcnicoll@oceaninformatics.com Date originally authored: 2009-12-08 |
OtherDetails Language Independent | {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, current_contact=Heather Leslie, Atomica Informatics |
Keywords | request, order, service, provide, referral |
Lifecycle | in_development |
UID | d7cf88fd-5324-4005-9f1b-d0f4f8e112ba |
Language used | en |
Citeable Identifier | 1246.145.1168 |
Revision Number | 1.1.3-alpha |
All | Archetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Request for a health-related service or activity to be delivered by a clinician, organisation or agency., archetypeConceptComment=null, otherContributors=Fatima Almeida, Critical SW, Portugal Tomas Alme, DIPS ASA, Norway Vebjørn Arntzen, Oslo University Hospital, Norway Koray Atalag, University of Auckland, New Zealand Silje Ljosland Bakke, Nasjonal IKT HF, Norway (openEHR Editor) Lars Bitsch-Larsen, Haukeland University hospital, Norway Anita Bjørnnes, Helse Bergen, Norway Lisbeth Dahlhaug, Helse Midt - Norge IT, Norway Einar Fosse, UNN HF, Norwegian Centre for Integrated Care and Telemedicine, Norway Hildegard Franke, freshEHR Clinical Informatics Ltd., United Kingdom Heather Grain, Llewelyn Grain Informatics, Australia Knut Harboe, Stavanger Universitetssjukehus, Norway Sam Heard, Ocean Informatics, Australia Ingrid Heitmann, Oslo universitetssykehus HF, Norway Andreas Hering, Helse Bergen HF, Haukeland universitetssjukehus, Norway Anca Heyd, DIPS ASA, Norway Hilde Hollås, DIPS AS, Norway Evelyn Hovenga, EJSH Consulting, Australia Lars Ivar Mehlum, Helse Bergen HF, Norway Lars Morgan Karlsen, DIPS ASA, Norway Shinji Kobayashi, Kyoto University, Japan Heather Leslie, Atomica Informatics, Australia (openEHR Editor) Hallvard Lærum, Direktoratet for e-helse, Norway Rose Mari Eikås, Helse Bergen, Norway Ole Martin Sand, DIPS ASA, Norway Hildegard McNicoll, freshEHR Clinical Informatics Ltd., United Kingdom Ian McNicoll, freshEHR Clinical Informatics, United Kingdom (openEHR Editor) Bjørn Næss, DIPS ASA, Norway Andrej Orel, Marand d.o.o., Slovenia Anne Pauline Anderssen, Helse Nord RHF, Norway Pablo Pazos, CaboLabs.com Health Informatics, Uruguay Rune Pedersen, Universitetssykehuset i Nord Norge, Norway Jussara Rotzsch, Hospital Alemão Oswaldo Cruz, Brazil Line Silsand, Universitetssykehuset i Nord-Norge, Norway Norwegian Review Summary, Nasjonal IKT HF, Norway Line Sæle, Nasjonal IKT HF, Norway Nyree Taylor, Ocean Informatics, Australia John Tore Valand, Haukeland Universitetssjukehus, Norway (Nasjonal IKT redaktør) Richard Townley-O'Neill, Australian Digital Health Agency, Australia Gro-Hilde Ulriksen, Norwegian center for ehealthresearch, Norway, originalLanguage=en, translators=
openEHR-EHR-CLUSTER.service_ openEHR-EHR-CLUSTER.timing_ openEHR-EHR-CLUSTER.timing_ All not explicitly excluded archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0009]/items[at0149], code=at0149, itemType=SLOT, level=2, text=Supporting information, description=Digital document, image, video or diagram supplied as additional information to support or inform the request., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: openEHR-EHR-CLUSTER.media_ All not explicitly excluded archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0009]/items[at0150], code=at0150, itemType=ELEMENT, level=2, text=Comment, description=Additional narrative about the service request not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], details=[], context=[], ism_transition=[], other_participations=[], data=[], credentials=[], target=[], items=[], content=[], description=[], contacts=[], state=[], events=[], provider=[], identities=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0008]/items[at0010], code=at0010, itemType=ELEMENT, level=2, text=Requester order identifier, description=The local identifier assigned by the requesting clinical system., comment=Usually equivalent to the HL7 Placer Order Identifier., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
openEHR-EHR-CLUSTER.person.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0008]/items[at0011], code=at0011, itemType=ELEMENT, level=2, text=Receiver order identifier, description=The local identifier assigned to the request by the clinician or organisation receiving the request for service., comment=Usually equivalent to the HL7 Filler Order Identifier., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
openEHR-EHR-CLUSTER.person.v1 and specialisations or openEHR-EHR-CLUSTER.organisation.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0008]/items[at0127], code=at0127, itemType=ELEMENT, level=2, text=Request status, description=The status of the request for service as indicated by the requester., comment=Status is used to denote whether this is the initial request, or a follow-up request to change or provide supplementary information. Coding with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0008]/items[at0128], code=at0128, itemType=SLOT, level=2, text=Distribution list, description=Details of additional clinicians, organisations or agencies who require copies of any communication., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: openEHR-EHR-CLUSTER.organisation.v1 and specialisations or openEHR-EHR-CLUSTER.person.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0008]/items[at0155], code=at0155, itemType=SLOT, level=2, text=Urgent contact, description=Details about the designated contact person or organisation and preferred mode of contact for urgent or emergency notifications related to this request., comment=For example: if the outcome of the request requires an urgent or emergency response by the requester., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: openEHR-EHR-CLUSTER.person.v1 and specialisations or openEHR-EHR-CLUSTER.organisation.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0008]/items[at0158], code=at0158, itemType=ELEMENT, level=2, text=Eligibility guidance, description=Advice from the requester to the receiver about the individual's eligibility for the requested service., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0008]/items[at0156], code=at0156, itemType=ELEMENT, level=2, text=Billing guidance, description=A recommendation from the requester to the receiver about the method of payment for the service., comment=For example: 'Private'; 'Government insurance scheme'; or 'Private insurance'. , uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0008]/items[at0157], code=at0157, itemType=SLOT, level=2, text=Responsible payer, description=Details about the individual or organisation who will assume responsibility for payment of the service., comment=This data element will only be used if a known payer has been identified. For example: an individual, such as a parent on behalf of a child; or an organisation such as a workplace or government insurance scheme., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: openEHR-EHR-CLUSTER.organisation.v1 and specialisations or openEHR-EHR-CLUSTER.person.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0008]/items[at0112], code=at0112, itemType=SLOT, level=2, text=Extension, description=Additional information required to extend the model with local content or to align with other reference models or formalisms., comment=For example: local information requirements; or additional metadata to align with FHIR., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: All not explicitly excluded archetypes, extendedValues=null]]}, topLevelItems={activities=ResourceSimplifiedHierarchyItem [path=ROOT_/activities[at0001], code=at0001, itemType=ACTIVITY, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=0..*, cardinalityText=Minimum of 0 items , subCardinalityFormal=null, subCardinalityText=null, dataType=ACTIVITY, bindings=null, values=null, extendedValues=null], protocol=ResourceSimplifiedHierarchyItem [path=ROOT_/protocol[at0008], code=at0008, itemType=ITEM_TREE, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=1..*, subCardinalityText= , dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=protocol, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/protocol[at0008]/items[at0010], code=at0010, itemType=ELEMENT, level=2, text=Requester order identifier, description=The local identifier assigned by the requesting clinical system., comment=Usually equivalent to the HL7 Placer Order Identifier., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
openEHR-EHR-CLUSTER.person.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0008]/items[at0011], code=at0011, itemType=ELEMENT, level=2, text=Receiver order identifier, description=The local identifier assigned to the request by the clinician or organisation receiving the request for service., comment=Usually equivalent to the HL7 Filler Order Identifier., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
openEHR-EHR-CLUSTER.person.v1 and specialisations or openEHR-EHR-CLUSTER.organisation.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0008]/items[at0127], code=at0127, itemType=ELEMENT, level=2, text=Request status, description=The status of the request for service as indicated by the requester., comment=Status is used to denote whether this is the initial request, or a follow-up request to change or provide supplementary information. Coding with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0008]/items[at0128], code=at0128, itemType=SLOT, level=2, text=Distribution list, description=Details of additional clinicians, organisations or agencies who require copies of any communication., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: openEHR-EHR-CLUSTER.organisation.v1 and specialisations or openEHR-EHR-CLUSTER.person.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0008]/items[at0155], code=at0155, itemType=SLOT, level=2, text=Urgent contact, description=Details about the designated contact person or organisation and preferred mode of contact for urgent or emergency notifications related to this request., comment=For example: if the outcome of the request requires an urgent or emergency response by the requester., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: openEHR-EHR-CLUSTER.person.v1 and specialisations or openEHR-EHR-CLUSTER.organisation.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0008]/items[at0158], code=at0158, itemType=ELEMENT, level=2, text=Eligibility guidance, description=Advice from the requester to the receiver about the individual's eligibility for the requested service., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0008]/items[at0156], code=at0156, itemType=ELEMENT, level=2, text=Billing guidance, description=A recommendation from the requester to the receiver about the method of payment for the service., comment=For example: 'Private'; 'Government insurance scheme'; or 'Private insurance'. , uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0008]/items[at0157], code=at0157, itemType=SLOT, level=2, text=Responsible payer, description=Details about the individual or organisation who will assume responsibility for payment of the service., comment=This data element will only be used if a known payer has been identified. For example: an individual, such as a parent on behalf of a child; or an organisation such as a workplace or government insurance scheme., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: openEHR-EHR-CLUSTER.organisation.v1 and specialisations or openEHR-EHR-CLUSTER.person.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0008]/items[at0112], code=at0112, itemType=SLOT, level=2, text=Extension, description=Additional information required to extend the model with local content or to align with other reference models or formalisms., comment=For example: local information requirements; or additional metadata to align with FHIR., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: All not explicitly excluded archetypes, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null] |