ARCHETYPE Operative procedure (openEHR-EHR-CLUSTER.operative_procedure.v0)

Name: Operative procedure
License: http://creativecommons.org/licenses/by-sa/3.0/

ARCHETYPE ID	openEHR-EHR-CLUSTER.operative_procedure.v0
Concept	Operative procedure
Description	Details about the operative aspects of a procedure.
Use	Use to record details about the operative aspects of any surgical procedure. This archetype is designed to be nested within the 'Procedure detail' SLOT within the ACTION.procedure archetype or similar, which will identifiy the name of the procedure and information that is common to all types of procedures. Other CLUSTER archetypes can be inserted into the SLOTs to extend this generic archetype to capture further details for the identified operation - for example: CLUSTER.surgical_preparation; CLUSTER.myringoplasty and CLUSTER.closure.
Purpose	To record details about the operative aspects of a procedure.
References
Copyright	© openEHR Foundation
Authors	Author name: Nyree Taylor Organisation: Ocean Health Systems, Australia Email: nyree.taylor@oceanhealthsystems.com Date originally authored: 2017-07-26
Other Details Language	Author name: Nyree Taylor Organisation: Ocean Health Systems, Australia Email: nyree.taylor@oceanhealthsystems.com Date originally authored: 2017-07-26
Other Details (Language Independent)	Licence: This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/. Custodian Organisation: openEHR Foundation Current Contact: Nyree Taylor, Ocean Health Systems, Australia Original Namespace: org.openehr Original Publisher: openEHR Foundation Custodian Namespace: org.openehr MD5-CAM-1.0.1: 0B61FC138DCD04219DC8E97AB49A636F Build Uid: 31822ca5-96dd-4ff3-9d85-220b450db65a Revision: 0.0.1-alpha
Keywords	procedure, surgery, incision, resection, intervention, surgical, trauma, repair
Lifecycle	in_development
UID	4946e311-71c7-41d0-963e-ea8eaa3f0a2e
Language used	en
Citeable Identifier	1246.145.2517
Revision Number	0.0.1-alpha
items
Episode	Episode: Sequence order of the procedure. at0002::Primary [The first time the procedure has been performed on this body site.] at0003::Revision [Subsequent times the procedure is performed.]
Pre-operative assessment	Pre-operative assessment: Structured details about pre-procedure activities. Include: openEHR-EHR-CLUSTER.asa_status.v0
Approach	Approach: Description about the surgical technique.
Operation details	Operation details: Specific details about the operation. Include: All not explicitly excluded archetypes
Closure	Closure: Narrative description about the closure of the wound.
Closure details	Closure details: Specific details about the closure of the wound. Include: All not explicitly excluded archetypes
Operative diagnosis	Operative diagnosis: Single word, phrase or brief description representing the clinical findings from the operation.
Outcomes	Outcomes: Narrative description of the result or consequences of the operation or procedure.
Comment	Comment: Additional narrative about the operative procedure, not captured in other fields.
Other contributors	Heather Leslie, Ocean Health Systems, Australia Graeme Crossland, HHIMS program, Northern Territory, Australia
Translators