| ARCHETYPE ID | openEHR-EHR-ACTION.unit_transfusion_management.v0 |
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| Concept | Unit transfusion management |
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| Description | Procedure to transfer a unit of blood or its components from a donor to a recipient to replace missing blood elements. |
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| Use | Use to record a unit 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.
More specific information about a whole transfusion of several blood product transfused can be captured using the archetype ACTION.whole_transfusion_management.v0 Specific 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.
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| Misuse | Not to be used to record the action of a complete transfusion that may include several units. Use the ACTION.whole_transfusion_management.v0 archetype for this purpose.
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).
When used in conjunction with the CLUSTER.transfusion_unit archetype, ensure that there is no redundant information. |
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| Purpose | To record details about the procedure of a transfusion of a blood product unit. |
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| References | https://www.sciencedirect.com/science/article/pii/S2211419X13000724#:~:text=The%20bone%20marrow%20consists%20of,administered%20through%20the%20IO%20route. |
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| Copyright | © Departament de Salut de la Generalitat de Catalunya, openEHR Foundation |
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| Authors | Author name: Laura Moral López
Organisation: Modelatge del Coneixement Clínic Catsalut
Email: lauramoral@catsalut.cat
Date originally authored: 2025-03-24
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| Other Details Language | Author name: Laura Moral López
Organisation: Modelatge del Coneixement Clínic Catsalut
Email: lauramoral@catsalut.cat
Date originally authored: 2025-03-24
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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
- References: https://www.sciencedirect.com/science/article/pii/S2211419X13000724#:~:text=The%20bone%20marrow%20consists%20of,administered%20through%20the%20IO%20route.
- Original Namespace: org.openehr
- Original Publisher: openEHR Foundation
- Custodian Namespace: org.openehr
- MD5-CAM-1.0.1: 090FD285453846C8AA380B057D7B3C08
- Build Uid: ec942f8b-e88b-4603-acc2-17a8981db291
- Revision: 0.0.1-alpha
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| Keywords | transfusion, blood, plasma, blood products, platelets |
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| Lifecycle | in_development |
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| UID | 2f9e6c03-d898-4788-9cea-3024b19d3fbf |
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| Language used | en |
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| Citeable Identifier | 1246.145.2985 |
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| Revision Number | 0.0.1-alpha |
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| description | |
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| Blood product unit name | Blood product unit name: The name of the product unit transfused.
Example: red cells, platelets, plasma... |
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| Blood product unit identifier | Blood product unit identifier: Unique identifier for the unit of the blood product. |
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| Unit volume | Unit volume: The amount of blood product contained in each unit. |
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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 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 unit product after delivery and prior to administration.
Choice of:
 Coded Text
 Text
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| Description | Description: Narrative description about the unit transfusion. |
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| Volume administered | Volume administered: The cumulative total volume of the blood product unit that has been administered. |
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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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| Scheduled date/time | Scheduled date/time: The date and/or time on which the transfusion of the unit is intended to be 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.
It is strongly recommended to use the CLUSTER "Adverse reaction event".
Include:
All not explicitly excluded archetypes |
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| Administration details | Administration details: Details of body site of administration of the unit transfusion.
Include:
All not explicitly excluded archetypes |
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| protocol | |
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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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| Requestor order identifier | Requestor order identifier: The local ID assigned to the order by the healthcare provider or organisation requesting the service.
This is equivalent to Placer Order Number in HL7 v2 specifications.
Choice of:
 Identifier
- Text
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| Receiver order identifier | Receiver order identifier: The ID assigned to the order by the healthcare provider or organisation receiving the request for service. This is also referred to as Filler Order Identifier.
This is equivalent to Filler Order Number in HL7 v2 specifications.
Choice of:
- Identifier
- Text
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| Requestor | Requestor: Details about the healthcare provider or organisation requesting the service.
Include:
All not explicitly excluded archetypes |
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| Receiver | Receiver: Details about the healthcare provider or organisation receiving the request for service.
Include:
All not explicitly excluded archetypes |
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| Transfusion identifier | Transfusion identifier: Unique identifier for the transfusion. |
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| ism_transition | |
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| Unit ordered | Unit ordered: The blood product unit has been ordered.
Current state: planned |
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| Unit delivered | Unit delivered: The blood product unit has been delivered to the physical place where the transfusion will take place.
Current state: planned |
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| Unit administration scheduled | Unit administration scheduled: Unit transfusion has been scheduled to be performed.
Current state: scheduled |
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| Unit administration postponed | Unit administration postponed: Unit transfusion has been postponed.
Current state: postponed |
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| Unit administration cancelled | Unit administration cancelled: Unit transfusion has been cancelled.
Current state: cancelled |
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| Pre-transfusion check | Pre-transfusion check: The pre-transfusion checked of the blood product unit has been performed.
Current state: active |
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| Unit administration started | Unit administration started: Unit blood product administration has started.
Current state: active |
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| Unit administration restarted | Unit administration restarted: Unit blood product administration has restarted.
Current state: active |
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| Unit administration suspended | Unit administration suspended: Unit blood product administration has been suspended and may restart.
Current state: suspended |
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| Unit administration abandoned | Unit administration abandoned: An ongoing blood unit transfusion is discontinued before its completion.
Current state: aborted |
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| Unit administration completed | Unit administration completed: A whole blood unit has been administered.
Current state: completed |
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| Other contributors | Ana Pascual Segura, Modelatge del Coneixement Clínic Catsalut, Spain |
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| Translators | - Catalan: Laura Moral López, lauramoral@catsalut.cat, Modelatge del Coneixement Clínic Catsalut
- Spanish (Spain): Laura Moral López, lauramoral@catsalut.cat, Modelatge del Coneixement Clínic Catsalut
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