| ARCHETYPE ID | openEHR-EHR-ADMIN_ENTRY.episode_institution_local.v0 |
|---|---|
| Concept | episode_institution_local |
| Description | Administrative details about a period of admitted patient care between a formal or statistical admission and a formal or statistical separation, characterised by only one care type of care from a healthcare institution. |
| Use | Use to record administrative details about a period of admitted patient care between a formal or statistical admission and a formal or statistical separation, characterised by only one care type of care from a healthcare institution. |
| Purpose | To record administrative details about a period of admitted patient care between a formal or statistical admission and a formal or statistical separation, characterised by only one care type of care from a healthcare institution. |
| References | Derived from: <Add reference to original resource here> |
| Copyright | © openEHR Foundation, HiGHmed |
| Authors | Author name: Heather Leslie Organisation: Atomica Informatics Email: heather.leslie@atomicainformatics.com Date originally authored: 2020-03-14 |
| Other Details Language | Author name: Heather Leslie Organisation: Atomica Informatics Email: heather.leslie@atomicainformatics.com Date originally authored: 2020-03-14 |
| Other Details (Language Independent) |
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| Keywords | |
| Lifecycle | in_development |
| UID | b7526925-28be-43b9-89f2-8a37ce807f78 |
| Language used | en |
| Citeable Identifier | 1246.145.2305 |
| Revision Number | 0.0.1-alpha |
| data | |
| Episode ID | Episode ID: An identifier for the episode of care. |
| Admission date | Admission date: The date and/or time of the formal or statistical admission to the institution. |
| Reason for admission | Reason for admission: The reason why the individual was admitted for an episode of care. For example: respite; rehabilitation; or infection isolation. Diagnosies should be recorded using the EVAL.problem_diagnosis archetype plus the nested CLUSTER.problem_qualifier, if necessary. |
| Admission category | Admission category: The type of admission. For example: day surgery; elective surgery or em. |
| Source category | Source category: The type of residence where the individual resided prior to admission. For example: hospital, community, or nursing home. 'Admission source' should be coded with a terminology, where possible. |
| Source | Source: The organisation or address for the individual prior to the admission. Include: openEHR-EHR-CLUSTER.organisation.v0 and specialisations or openEHR-EHR-CLUSTER.organisation.v1 and specialisations or openEHR-EHR-CLUSTER.address.v0 and specialisations or openEHR-EHR-CLUSTER.address.v1 and specialisations |
| Referring clinician | Referring clinician: Details about the clinicians responsible for referring the individual from the Source. Include: openEHR-EHR-CLUSTER.person.v0 and specialisations or openEHR-EHR-CLUSTER.person.v1 and specialisations |
| Medical record number | Medical record number: Identification of the medical record number. Choice of:
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| Health insurance category | Health insurance category: The type of health insurance applicable for the episode. |
| Attending unit | Attending unit: The clinical service unit assigned for care of the individual. For example: Orthopaedic A unit. |
| Attending clinicians | Attending clinicians: Details about the consultant and attending clinicians responsible for care during the episode. Include: openEHR-EHR-CLUSTER.person.v0 and specialisations or openEHR-EHR-CLUSTER.person.v1 and specialisations |
| Physical location | Physical location: The physical location of the individual within the institution during the episode of care. |
| Location onset | Location onset: The date the individual was moved to the internal institution location. For example, the date moved to a new ward or bed. |
| Location category | Location category: The type of location. For example: Intensive care unit; high dependency unit. |
| Location | Location: An organisation, physical address or structured address describing where the individual was located during the episode of care. For example: 2nd floor, Moorhouse wing, Turnbull building, General Hospital. Include: openEHR-EHR-CLUSTER.organisation.v0 and specialisations or openEHR-EHR-CLUSTER.address.v0 and specialisations or openEHR-EHR-CLUSTER.address.v1 and specialisations or openEHR-EHR-CLUSTER.organisation.v1 and specialisations or openEHR-EHR-CLUSTER.structured_ openEHR-EHR-CLUSTER.structured_ |
| Ward | Ward: The name of the Ward within the institution where the individual was located. |
| Room | Room: The name of the Room within the institution where the individual was located. |
| Bed | Bed: The name of the Bed within the institution where the individual was located. |
| Location end | Location end: The date the individual was moved from the internal institution location. |
| Separation date | Separation date: The date and/or time of the formal or statistical end of the admission to the institution. For example: transfer of care to home or another institution; or date of death. Formal recording of the date of death should use CLUSTER.death_details. |
| Outcome | Outcome: Outcome for the individual at the end of the episode of care. For example: recovered/not recovered/death. |
| Destination category | Destination category: The type of residence where the individual resided after the episode of care. For example: home; hospital; nursing home; or rehabilitation hospital. |
| Destination | Destination: The organisation or address for the individual after the admission. Include: openEHR-EHR-CLUSTER.organisation.v0 and specialisations or openEHR-EHR-CLUSTER.organisation.v1 and specialisations or openEHR-EHR-CLUSTER.address.v0 and specialisations or openEHR-EHR-CLUSTER.address.v1 and specialisations |
| Additional details | Additional details: Additional structured details about the episode of care within an institution. For example: Include: All not explicitly excluded archetypes |
| Comment | Comment: Additional narrative about the episode, not captured in other fields. |
| Other contributors | |
| Translators |
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