| ARCHETYPE ID | openEHR-EHR-ACTION.blood_transfusion_management.v0 |
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| Concept | Blood transfusion management |
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| Description | Procedure to transfer blood or its components from a donor to a recipient to replenish depleted blood elements. |
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| Use | Use to record all or part of a blood transfusion procedure. Additional structured and detailed information about the transfusion can be captured using purpose-specific archetypes inserted into the 'Additional details' slot, where required. Timings related to a transfusion can be managed in one of two ways: - Using the reference model - the time for performance of any pathway step will use the ACTION time attribute for each step.
- Archetyped data elements:
--> 'Scheduled date/time' data element is intended to record the precise time when the transfusion is planned. Note: the corresponding ACTION time attribute for the 'Transfusion scheduled' step will record the time that the transfusion was scheduled into a system, not the intended date/time on which the transfusion is intended to be carried out;
--> 'Start date/time' is intented to record the precise time when the transfusion was started. Note: the corresponding ACTION time attribute for the 'Transfusion unit commenced' will document the time each component performed was commenced. This 'Start date/time' data element will record the date/time of the starting active component of the procedure. This will enable a full duration of the active procedure to be calculated.
--> 'End date/time' is intended to record the precise time when the procedure was ended. Note: the corresponding ACTION time attribute for the 'Transfusion unit completed' will document the time each component performed was commenced. This 'Final end date/time' data element will record the date/time of the final active component of the procedure. This will enable a full duration of the active procedure to be calculated.
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| Misuse | Not to be used to record the order for a transfusion. Use the INSTRUCTION.service_request.v1 archetype for this purpose.
Not to be used to record other types of transfusions (Bone Marrow Transfusions (Transplants), Stem Cell Transfusions, Immunoglobulin Therapy, Platelet-Rich Plasma (PRP) Injections and Clotting Factor Concentrates). |
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| Purpose | To record details about a blood transfusion procedure. |
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| References | |
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| Authors | Date originally authored: 2024-04-09
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| Other Details Language | Date originally authored: 2024-04-09
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| Other Details (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
- Original Namespace: org.openehr
- Original Publisher: openEHR Foundation
- Custodian Namespace: org.openehr
- MD5-CAM-1.0.1: 02B8566D98395DCFAF364AF8AECE96BE
- Build Uid: 1b0c88ad-4584-48dc-9d9c-40f0fe1aff8d
- Revision: 0.0.1-alpha
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| Keywords | transfusion, blood, plasma, blood products, apheresis |
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| Lifecycle | in_development |
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| UID | d5a7d55c-1336-436d-8cd3-cdd755e45c55 |
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| Language used | en |
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| Citeable Identifier | 1246.145.2510 |
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| Revision Number | 0.0.1-alpha |
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| description | |
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| Blood product name | Blood product name: The blood product transfused.
Examples: red cells, platelets, plasma...
Choice of:
 Coded Text
 Text
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| Blood product ID | Blood product ID: The identifier of the blood product transfused. |
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| Expiration date | Expiration date: The effective date after which the blood product should not be transfused.
Choice of:
 Date
 Date/Time
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| Unit volume | Unit volume: The amount of blood product contained in each unit.
Property: Volume
Units: - ml
- cl
- dl
- l
- mm³ (UCUM: mm3)
- cc (UCUM: cm3)
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| Unit sequence number | Unit sequence number: The sequence of the unit being transfused during the 'Unit administration started' or 'Unit administration completed' pathway steps. |
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| Product location | Product location: The physical location of the product after delivery and prior to administration.
Choice of:
- Text
- Coded Text
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| Description | Description: Narrative description about the transfusion. |
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| Start date/time | Start date/time: The date and time when the transfusion of the unit commences.
Choice of:
- Date
- Date/Time
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| Stop date/time | Stop date/time: The date and time when the transfusion of the unit stops.
Choice of:
- Date/Time
- Date
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| Volume administered | Volume administered: The cumulative total volume of the blood product that has been administered.
Property: Volume
Units: - ml
- cl
- dl
- l
- mm³ (UCUM: mm3)
- cc (UCUM: cm3)
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| Comment | Comment: Additional narrative about the activity or pathway step not captured in other fields, including details of any variance between the intended action and the action actually performed. |
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| Additional details | Additional details: Further structured details of the action, possibly specific to a pathway step.
Include:
All not explicitly excluded archetypes |
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| Adverse reaction | Adverse reaction: Additional information regarding a specific adverse reaction event caused by exposure to a specific substance.
Include:
openEHR-EHR-CLUSTER.adverse_reaction_event.v1 |
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| protocol | |
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| Transfusion ID | Transfusion ID: Unique identifier for the transfusion. |
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| Scheduled date/time | Scheduled date/time: The date and/or time on which the transfusion is intended to be performed. |
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| Ordered date/time | Ordered date/time: The date when the blood product has been ordered.
Choice of:
- Date/Time
- Date
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| Delivered date/time | Delivered date/time: The date when the blood product has been delivered to the place where the tranfusion is going to be performed.
Choice of:
- Date
- Date/Time
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| Extension | Extension: Additional information required to capture local content or to align with other reference models/formalisms.
Include:
All not explicitly excluded archetypes |
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| ism_transition | |
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| Transfusion ordered | Transfusion ordered: The transfusion of all blood products is requested.
Current state: initial |
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| Blood products ordered | Blood products ordered: The blood products have been ordered.
Current state: initial |
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| Blood products delivered | Blood products delivered: The blood products have been delivered to the physical place where the transfusion will take place.
Current state: planned |
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| Transfusion scheduled | Transfusion scheduled: Transfusion has been scheduled to be performed.
Current state: scheduled |
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| Transfusion postponed | Transfusion postponed: Transfusion has been postponed.
Current state: postponed |
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| Transfusion cancelled | Transfusion cancelled: The transfusion has been cancelled as no longer appropriate or required.
Current state: cancelled |
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| Transfusion suspended | Transfusion suspended: The transfusion has been suspended and may restart.
Current state: suspended |
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| Transfusion completed | Transfusion completed: All blood products have been administered.
Current state: completed |
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| Unit administration started | Unit administration started: Administration of a unit of blood product has commenced.
Current state: active |
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| Unit administration completed | Unit administration completed: The blood product unit has been administered.
Current state: active |
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| Transfusion completed | Transfusion completed: All blood products have been administered.
Current state: active |
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| Transfusion stopped | Transfusion stopped: An ongoing blood transfusion is discontinued before its completion.
Current state: aborted |
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| Transfusion expired | Transfusion expired: The blood transfusion does not occur within the planned timeframe.
Current state: expired |
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| Transfusion planned | Transfusion planned: Transfusion has been planned.
Current state: planned |
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| Blood and patient identification checked | Blood and patient identification checked: The transfusion product identification and patient identification have been matched.
Current state: active |
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| Consent obtained | Consent obtained: Consent for the transfusion has been obtained.
Current state: planned |
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| Other contributors | |
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| Translators | - Catalan:
- Spanish (Spain):
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