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

ARCHETYPE IDopenEHR-EHR-ADMIN_ENTRY.umg_entlassungsdaten.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: AA734DD4F51D4AB2480CDEA33AF14CA0
  • Build Uid: 7e5c658a-880f-4fb3-8c1b-15372eaa59af
  • Revision: 0.0.1-alpha
Keywords
Lifecyclein_development
UIDbd048435-219f-4c9a-81dc-c7b1cc8e8110
Language useden
Citeable Identifier1246.145.968
Revision Number0.0.1-alpha
data
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. ]
Transfer to another serviceTransfer to another service: For local use, this field hold the type of organizational unit or clinical unit.
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: *
Lenght of stayLenght of stay: Lenght of stay on hospital
Property: Time
Units:
  • yr
  • h
  • mo
  • wk
  • d
Final price charge indicatorFinal price charge indicator: *
Discharge statusDischarge status: Discharge status.
  • Discharge home [Discharge home]
  • Discharge to another hospital [Discharge to another hospital]
  • Discharge to skilled nursing facility [Discharge to skilled nursing facility]
  • Discharge to intermediate care facility [Discharge to intermediate care facility]
  • Discharge home health care organization [Discharge home health care organization]
  • Left against advice [Left against advice ]
  • Transfer to chronic or rehabilitation hospital. [Transfer to chronic or rehabilitation hospital. ]
  • Discharge to mental health setting. [Discharge to mental health setting. ]
Discharge at patient´s requestDischarge at patient´s request: The patient can refuse the proposed procedure or service and leave the hospital.
Discharge instructions Discharge instructions : Discharge instructions to patients.
Additional informationAdditional information: Comments
Discharge date/timeDischarge date/time: Date/Time the patiente was discharge.
Last patient locationLast patient location: *
Include:
All not explicitly excluded archetypes
*Cluster(en)*Cluster(en): **(en)
Include:
All not explicitly excluded archetypes
*Neues Element(en)*Neues Element(en): **(en)
Other contributorsRicardo Correia, FMUP, Portugal
Pedro Vieira-Marques, FMUP, Portugal
Duarte Ferreira, FMUP, Portugal
Translators
  • German: Kim Sommer, MHH