ARCHETYPE Fluid input (openEHR-EHR-OBSERVATION.fluid_input.v1)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.fluid_input.v1
ConceptFluid input
DescriptionThe amount of fluid ingested or administered to the individual.
UseUse to record details about fluids ingested and/or administered. This archetype is intended to be used to mirror current clinical practice with fluid input recorded in orders and in fluid balance charts. In a clinical system business rules can support automation of orders involving fluid input using this archetype to prevent the need for clinicians to duplicate data entry. This archetype will also be the basis for all monitored fluid intake, including ordered fluids and ad hoc consumption. This archetype will used to record details about: - each single fluid ingested or administered, for example each individual cup of tea or glass of water; or - the total fluid input of a fluid over a specified period of time, for example the total amount of 0.9% NaCl administered over an 8 hour nursing shift. Each fluid measurement should be recorded using a separate instance of this archetype. The details recorded using this fluid input archetype may inform fluid balance calculations. A fluid balance chart will typically require a combination of multiple instances of this archetype and multiple instances of OBSERVATION.fluid_output archetype to capture all of the various inputs and outputs, plus a single instance of the OBSERVATION.fluid_balance to record the overall fluid status.
MisuseNot to be used to record fluid output. Use OBSERVATION.fluid_output for this purpose. Not to be used to order fluid administration - use INSTRUCTION.medication or an INSTRUCTION specific for fluid intake. Not to be used to order changes in fluid input, such as fluid restriction. Use an appropriate INSTRUCTION archetype for this purpose. Not to be used to record fluid balance calculations. Use OBSERVATION.fluid_balance for this purpose.
PurposeTo record details of measured fluid input, often used as part of fluid balance calculation.
ReferencesFluid Input, Draft Archetype [Internet]. Australian Digital Health Agency, Australian Digital Health Agency Clinical Knowledge Manager [cited: 2017-05-04]. Available from: http://dcm.nehta.org.au/ckm/#showArchetype_1013.1.1205.
Copyright© Australian Digital Health Agency, openEHR Foundation, Nasjonal IKT HF
AuthorsAuthor name: Dr Ian McNicoll
Organisation: Ocean Informatics, United Kingdom
Email: ian.mcnicoll@oceaninformatics.com
Date originally authored: 2009-11-11
Other Details LanguageAuthor name: Dr Ian McNicoll
Organisation: Ocean Informatics, United Kingdom
Email: ian.mcnicoll@oceaninformatics.com
Date originally authored: 2009-11-11
OtherDetails 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=Fluid Input, Draft Archetype [Internet]. Australian Digital Health Agency, Australian Digital Health Agency Clinical Knowledge Manager [cited: 2017-05-04]. Available from: http://dcm.nehta.org.au/ckm/#showArchetype_1013.1.1205., current_contact=Heather Leslie, Ocean Informatics, heather.leslie@oceaninformatics.com, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=0470B5CFF2759CE7EA117AF87D0A8BA7, build_uid=c853bcfd-ce84-4604-9994-0021c39f39ca, revision=1.0.1}
Keywordsfluid, input, balance, drinking, intake, parenteral, eating
Lifecyclepublished
UIDfcd984e2-51b9-4863-bf9d-cbdaf48c0ad2
Language useden
Citeable Identifier1013.1.1671
Revision Number1.0.1
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=The amount of fluid ingested or administered to the individual., archetypeConceptComment=null, otherContributors=Tomas Alme, DIPS, Norway
Vebjørn Arntzen, Oslo University Hospital, Norway (openEHR Editor)
Silje Ljosland Bakke, Nasjonal IKT HF, Norway (openEHR Editor)
Marcus Baw, openGPSoC / BawMedical Ltd, United Kingdom
Ingeborg Berge, Direktoratet for e-helse, Norway
Kristian Berg, Vestvågøy kommune - Fagutviklingsavdelingen, Norway
SB Bhattacharyya, Sudisa Consultancy Services, India
Bjørn Christensen, Helse Bergen HF, Norway
Stig Erik Hegrestad, Helse Førde, Norway
Hildegard Franke, freshEHR Clinical Informatics Ltd., United Kingdom
Mikkel Gaup Grønmo, FSE, Helse Nord, Norway
Heather Grain, Llewelyn Grain Informatics, Australia
Cecilie Graver, Oslo universitetssykehus HF, Norway
Sam Heard, Ocean Informatics, Australia
Ingrid Heitmann, Oslo universitetssykehus HF, Norway
Annette Hole Sjøborg, DIPS ASA, Norway
Hilde Hollås, DIPS ASA, Norway
Evelyn Hovenga, EJSH Consulting, Australia
Lars Ivar Mehlum, Helse Bergen HF, Norway
Tom Jarl Jakobsen, Helse Bergen, Norway
Lars Morgan Karlsen, DIPS ASA, Norway
Nils Kolstrup, Skansen Legekontor og Nasjonalt Senter for samhandling og telemedisin, Norway
Harmony Kosola, Alberta Health Services, Canada
Anne Kristin Strand, Sykehuspartner HF, Norway
Heather Leslie, Ocean Health Systems, Australia
Pedro Leuschner, Centro Hospitalar do Porto, Portugal
Marit Ludvigsen, St Olavs Hospital, Norway
Hallvard Lærum, Direktoratet for e-helse, Norway
Siv Marie Lien, DIPS ASA, Norway
Ian McNicoll, freshEHR Clinical Informatics, United Kingdom
Andrej Orel, Marand d.o.o., Slovenia
Anne Pauline Anderssen, Helse Nord RHF, Norway
Vladimir Pizzo, Hospital Sírio Libanês, Brazil
Navin Ramachandran, NHS, United Kingdom
Tanja Riise, Nasjonal IKT HF, Norway
Anoop Shah, University College London, United Kingdom
Iztok Stotl, UKCLJ, Slovenia
Norwegian Review Summary, Nasjonal IKT HF, Norway
Nyree Taylor, Ocean Informatics, Australia
Rowan Thomas, St. Vincent's Hospital Melbourne, Australia
Stian Torleif Varpe, Helse Bergen, Norway
Gro-Hilde Ulriksen, Norwegian center for ehealthresearch, Norway
John Tore Valand, Helse Bergen, Norway (openEHR Editor), originalLanguage=en, translators=Swedish: Kirsi Poikela, Tieto Sweden AB, ext.kirsi.poikela@tieto.com
Norwegian Bokmål: Vebjørn Arntzen, Oslo University Hospital HF, varntzen@ous-hf.no
Spanish (Argentina): Alan March, Hospital Universitario Austral, amarch@cas.austral.edu.ar, MD
Slovenian: ?
, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={identities=[], other_participations=[], credentials=[], description=[], relationships=[], ism_transition=[], activities=[], items=[], data=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0036], code=at0036, itemType=ELEMENT, level=4, text=Fluid name, description=Identification of the fluid ingested or administered., comment=For example: 0.9% NaCl; tea; or parenteral nutrition. The fluid name can be entered manually or derived from the fluid order by the clinical system., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0034], code=at0034, itemType=ELEMENT, level=4, text=Route, description=The delivery route of the fluid., comment=For example: nasogastric tube; oral; intravenously or intraosseous. The route can be entered manually or derived from the fluid order by the clinical system., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0035], code=at0035, itemType=ELEMENT, level=4, text=Volume, description=The volume of fluid ingested or administered., comment=The volume can be entered manually or derived from the fluid order by the clinical system., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Volume
Units:
  • >=0.0 ml
  • >=0.0 l
    Limit decimal places: 3
  • >=0.0 [foz_us]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0039], code=at0039, itemType=SLOT, level=4, text=Fluid details, description=Additonal details about the fluid., comment=For example: further details about the fluid, such as nutritional value., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
All not explicitly excluded archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0032], code=at0032, itemType=ELEMENT, level=4, text=Comment, description=Additional narrative about the fluid input not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], capabilities=[], state=[], context=[], events=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=2, text=Any event, description=Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=null, extendedValues=null]], source=[], content=[], target=[], details=[], provider=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0008]/items[at0031], code=at0031, itemType=ELEMENT, level=2, text=Method, description=The approach used to quantify the volume of fluid., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Estimated [The fluid volume has been estimated.]
  • Measured [The fluid volume has been directly measured.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0008]/items[at0033], code=at0033, itemType=SLOT, level=2, text=Input device, description=The device used to administer or deliver the fluid., comment=For examle: A nasogastric tube or jejunal catheter., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.device.v1 and specialisations
Exclude:
All not explicitly included archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0008]/items[at0028], code=at0028, itemType=SLOT, level=2, text=Measurement device, description=The device used to measure the volume of fluid., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.device.v1 and specialisations
Exclude:
All not explicitly included archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0008]/items[at0040], code=at0040, itemType=SLOT, level=2, text=Extension, description=Additional information required to capture local content or to align with other reference models/formalisms., comment=e.g. Local information requirements or additional metadata to align with FHIR or CIMI equivalents., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
All not explicitly excluded archetypes, extendedValues=null]], contacts=[]}, topLevelItems={data=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=ITEM_TREE, level=2, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=1..1, cardinalityText=mandatory, subCardinalityFormal=1..*, subCardinalityText=, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], protocol=ResourceSimplifiedHierarchyItem [path=ROOT_/protocol[at0008], code=at0008, itemType=ITEM_TREE, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=1..1, cardinalityText=mandatory, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=protocol, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/protocol[at0008]/items[at0031], code=at0031, itemType=ELEMENT, level=2, text=Method, description=The approach used to quantify the volume of fluid., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Estimated [The fluid volume has been estimated.]
  • Measured [The fluid volume has been directly measured.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0008]/items[at0033], code=at0033, itemType=SLOT, level=2, text=Input device, description=The device used to administer or deliver the fluid., comment=For examle: A nasogastric tube or jejunal catheter., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.device.v1 and specialisations
Exclude:
All not explicitly included archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0008]/items[at0028], code=at0028, itemType=SLOT, level=2, text=Measurement device, description=The device used to measure the volume of fluid., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.device.v1 and specialisations
Exclude:
All not explicitly included archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0008]/items[at0040], code=at0040, itemType=SLOT, level=2, text=Extension, description=Additional information required to capture local content or to align with other reference models/formalisms., comment=e.g. Local information requirements or additional metadata to align with FHIR or CIMI equivalents., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
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