ARCHETYPE Discharge summary (openEHR-EHR-ADMIN_ENTRY.discharge_summary.v0)

ARCHETYPE IDopenEHR-EHR-ADMIN_ENTRY.discharge_summary.v0
ConceptDischarge summary
DescriptionUsed for discharged patient only.
PurposeThis archetype was designed for presenting the discharged data.
ReferencesDerived from: <Add reference to original resource here>
- Tyler M; Boyer A; Martin S; Neiman J, Bakel LA, Brittan M. Development of a discharge readiness report within the electronic health record - a discharge planning tool. Journal of Hospital Medicine, v9«.9, n.8. 2014.
Copyright© openEHR Foundation, HiGHmed
AuthorsAuthor name: Priscila Maranhao; Gustavo Bacelar
Organisation: MEDCIDES/FMUP; VirtualCare
Email: priscilamaranhao@gmail.com; gbacalar@gmail.com
Date originally authored: 2017-06-27
Other Details LanguageAuthor name: Priscila Maranhao; Gustavo Bacelar
Organisation: MEDCIDES/FMUP; VirtualCare
Email: priscilamaranhao@gmail.com; gbacalar@gmail.com
Date originally authored: 2017-06-27
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: HiGHmed
  • References: Derived from: - Tyler M; Boyer A; Martin S; Neiman J, Bakel LA, Brittan M. Development of a discharge readiness report within the electronic health record - a discharge planning tool. Journal of Hospital Medicine, v9«.9, n.8. 2014.
  • Original Namespace: org.highmed
  • Original Publisher: HiGHmed
  • Custodian Namespace: org.highmed
  • MD5-CAM-1.0.1: FFF8C6A6D1CCF30F6FF5B70CB57F52B7
  • Build Uid: f9876465-7f7e-464e-8360-4203ea903104
  • Revision: 0.0.1-alpha
Keywords
Lifecyclein_development
UID28d27d74-3405-4799-aad9-364ebd28f539
Language useden
Citeable Identifier1246.145.791
Revision Number0.0.1-alpha
data
Discharge statusDischarge status: Discharge status.
Clinical condition of the patientClinical condition of the patient: Clinical condition of the patient.
  • Cured [Patient is cured. ]
  • Improved [Patient is improved]
  • Same state [The patient is in the same state of admission. ]
  • Worse [The patient is worse than on admission. ]
  • Deceased [The patient died during hospitalization. ]
  • Undetermined. [Undetermined. ]
  • *Sonstige(en) [*Sonstige(en)]
Discharge date/timeDischarge date/time: Date/Time the patiente was discharge.
Lenght of stayLenght of stay: Lenght of stay on hospital
Property: Time
Units:
  • yr
  • h
  • mo
  • wk
  • d
Discharge instructions Discharge instructions : Discharge instructions to patients.
Additional informationAdditional information: Comments
Attending doctorAttending doctor: The attending doctor providing services to the patient.
IDID: *
Family nameFamily name: *
Last nameLast name: *
Referring doctorReferring doctor: Clinician who referred patient to the consulting doctor.
IDID: *
Family nameFamily name: *
Last nameLast name: *
Discharge doctor Discharge doctor : Discharge doctor informations.
IDID: *
Family nameFamily name: *
Last nameLast name: *
Last patient locationLast patient location: *
Include:
All not explicitly excluded archetypes
*Cluster(en)*Cluster(en): **(en)
Include:
All not explicitly excluded archetypes
Other contributorsRicardo Correia, FMUP, Portugal
Pedro Vieira-Marques, FMUP, Portugal
Duarte Ferreira, FMUP, Portugal
Translators
  • German: Kim Sommer, Antje Wulff, MHH, Peter L. Reichertz Institut für Medizinische Informatik der TU Braunschweig und der Medizinischen Hochschule Hannover, antje.wulff@plri.de