ARCHETYPE Blood transfusion management (openEHR-EHR-ACTION.blood_transfusion_management.v0)

ARCHETYPE IDopenEHR-EHR-ACTION.blood_transfusion_management.v0
ConceptBlood transfusion management
DescriptionProcedure to transfer blood or its components from a donor to a recipient to replenish depleted blood elements.
UseUse to record all or part of a 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. 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; --> 'Start date/time' is intented to record the precise time when the transfusion was started. Note: the corresponding ACTION time attribute for the 'Transfusion unit commenced' will document the time each component performed was commenced. This 'Start date/time' data element will record the date/time of the starting active component of the procedure. This will enable a full duration of the active procedure to be calculated. --> 'End date/time' is intended to record the precise time when the procedure was ended. Note: the corresponding ACTION time attribute for the 'Transfusion unit completed' will document the time each component performed was commenced. This 'Final end date/time' data element will record the date/time of the final active component of the procedure. This will enable a full duration of the active procedure to be calculated.
MisuseNot 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).
PurposeTo record details about a blood transfusion procedure.
References
AuthorsDate originally authored: 2024-04-09
Other Details LanguageDate originally authored: 2024-04-09
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, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=02B8566D98395DCFAF364AF8AECE96BE, build_uid=1b0c88ad-4584-48dc-9d9c-40f0fe1aff8d, revision=0.0.1-alpha}
Keywordstransfusion, blood, plasma, blood products, apheresis
Lifecyclein_development
UIDd5a7d55c-1336-436d-8cd3-cdd755e45c55
Language useden
Citeable Identifier1013.1.192
Revision Number0.0.1-alpha
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Procedure to transfer blood or its components from a donor to a recipient to replenish depleted blood elements., archetypeConceptComment=null, otherContributors=, originalLanguage=en, translators=
  • Catalan:
  • Spanish (Spain):
, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={activities=[], provider=[], items=[], source=[], content=[], events=[], data=[], context=[], details=[], credentials=[], identities=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0002]/items[at0056], code=at0056, itemType=ELEMENT, level=2, text=Transfusion ID, description=Unique identifier for the transfusion., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_IDENTIFIER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0002]/items[at0057], code=at0057, itemType=ELEMENT, level=2, text=Scheduled date/time, description=The date and/or time on which the transfusion is intended to be performed., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0002]/items[at0058], code=at0058, itemType=ELEMENT, level=2, text=Ordered date/time, description=The date when the blood product has been ordered., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
  •  Date/Time
  •  Date
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0002]/items[at0059], code=at0059, itemType=ELEMENT, level=2, text=Delivered date/time, description=The date when the blood product has been delivered to the place where the tranfusion is going to be performed., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
  •  Date
  •  Date/Time
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0002]/items[at0060], code=at0060, itemType=SLOT, level=2, text=Extension, description=Additional information required to capture local content or to align with other reference models/formalisms., comment=null, 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]], state=[], target=[], ism_transition=[ResourceSimplifiedHierarchyItem [path=/ism_transition[at0061]_524_at0061, code=at0061, itemType=ISM_TRANSITION, level=1, text=Transfusion ordered, description=The transfusion of all blood products is requested., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ISM_TRANSITION, bindings=null, values=Current state: initial, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/ism_transition[at0062]_524_at0062, code=at0062, itemType=ISM_TRANSITION, level=1, text=Blood products ordered, description=The blood products have been ordered., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ISM_TRANSITION, bindings=null, values=Current state: initial, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/ism_transition[at0063]_526_at0063, code=at0063, itemType=ISM_TRANSITION, level=1, text=Blood products delivered, description=The blood products have been delivered to the physical place where the transfusion will take place., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ISM_TRANSITION, bindings=null, values=Current state: planned, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/ism_transition[at0064]_529_at0064, code=at0064, itemType=ISM_TRANSITION, level=1, text=Transfusion scheduled, description=Transfusion has been scheduled to be performed., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ISM_TRANSITION, bindings=null, values=Current state: scheduled, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/ism_transition[at0065]_527_at0065, code=at0065, itemType=ISM_TRANSITION, level=1, text=Transfusion postponed, description=Transfusion has been postponed., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ISM_TRANSITION, bindings=null, values=Current state: postponed, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/ism_transition[at0066]_528_at0066, code=at0066, itemType=ISM_TRANSITION, level=1, text=Transfusion cancelled, description=The transfusion has been cancelled as no longer appropriate or required., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ISM_TRANSITION, bindings=null, values=Current state: cancelled, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/ism_transition[at0067]_530_at0067, code=at0067, itemType=ISM_TRANSITION, level=1, text=Transfusion suspended, description=The transfusion has been suspended and may restart., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ISM_TRANSITION, bindings=null, values=Current state: suspended, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/ism_transition[at0068]_532_at0068, code=at0068, itemType=ISM_TRANSITION, level=1, text=Transfusion completed, description=All blood products have been administered., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ISM_TRANSITION, bindings=null, values=Current state: completed, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/ism_transition[at0069]_245_at0069, code=at0069, itemType=ISM_TRANSITION, level=1, text=Unit administration started, description=Administration of a unit of blood product has commenced., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ISM_TRANSITION, bindings=null, values=Current state: active, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/ism_transition[at0070]_245_at0070, code=at0070, itemType=ISM_TRANSITION, level=1, text=Unit administration completed, description=The blood product unit has been administered., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ISM_TRANSITION, bindings=null, values=Current state: active, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/ism_transition[at0071]_245_at0042, code=at0071, itemType=ISM_TRANSITION, level=1, text=Transfusion completed, description=All blood products have been administered., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ISM_TRANSITION, bindings=null, values=Current state: active, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/ism_transition[at0072]_531_at0072, code=at0072, itemType=ISM_TRANSITION, level=1, text=Transfusion stopped, description=An ongoing blood transfusion is discontinued before its completion., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ISM_TRANSITION, bindings=null, values=Current state: aborted, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/ism_transition[at0073]_533_at0073, code=at0073, itemType=ISM_TRANSITION, level=1, text=Transfusion expired, description=The blood transfusion does not occur within the planned timeframe., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ISM_TRANSITION, bindings=null, values=Current state: expired, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/ism_transition[at0074]_526_at0074, code=at0074, itemType=ISM_TRANSITION, level=1, text=Transfusion planned, description=Transfusion has been planned., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ISM_TRANSITION, bindings=null, values=Current state: planned, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/ism_transition[at0075]_245_at0075, code=at0075, itemType=ISM_TRANSITION, level=1, text=Blood and patient identification checked, description=The transfusion product identification and patient identification have been matched., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ISM_TRANSITION, bindings=null, values=Current state: active, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/ism_transition[at0076]_526_at0076, code=at0076, itemType=ISM_TRANSITION, level=1, text=Consent obtained, description=Consent for the transfusion has been obtained., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ISM_TRANSITION, bindings=null, values=Current state: planned, extendedValues=null]], relationships=[], contacts=[], capabilities=[], description=[ResourceSimplifiedHierarchyItem [path=/description[at0001]/items[at0043], code=at0043, itemType=ELEMENT, level=2, text=Blood product name, description=The blood product transfused., comment=Examples: red cells, platelets, plasma..., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
  •  Coded Text
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/description[at0001]/items[at0044], code=at0044, itemType=ELEMENT, level=2, text=Blood product ID, description=The identifier of the blood product transfused., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_IDENTIFIER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/description[at0001]/items[at0045], code=at0045, itemType=ELEMENT, level=2, text=Expiration date, description=The effective date after which the blood product should not be transfused., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
  •  Date
  •  Date/Time
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/description[at0001]/items[at0046], code=at0046, itemType=ELEMENT, level=2, text=Unit volume, description=The amount of blood product contained in each unit., comment=null, 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:
  • ml
  • cl
  • dl
  • l
  • mm³
  • cc
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/description[at0001]/items[at0047], code=at0047, itemType=ELEMENT, level=2, text=Unit sequence number, description=The sequence of the unit being transfused during the 'Unit administration started' or 'Unit administration completed' pathway steps., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/description[at0001]/items[at0048], code=at0048, itemType=ELEMENT, level=2, text=Product location, description=The physical location of the product after delivery and prior to administration., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
  •  Text
  •  Coded Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/description[at0001]/items[at0049], code=at0049, itemType=ELEMENT, level=2, text=Description, description=Narrative description about the transfusion., 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], ResourceSimplifiedHierarchyItem [path=/description[at0001]/items[at0050], code=at0050, itemType=ELEMENT, level=2, text=Start date/time, description=The date and time when the transfusion of the unit commences., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
  •  Date
  •  Date/Time
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/description[at0001]/items[at0051], code=at0051, itemType=ELEMENT, level=2, text=Stop date/time, description=The date and time when the transfusion of the unit stops., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
  •  Date/Time
  •  Date
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/description[at0001]/items[at0052], code=at0052, itemType=ELEMENT, level=2, text=Volume administered, description=The cumulative total volume of the blood product that has been administered., comment=null, 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:
  • ml
  • cl
  • dl
  • l
  • mm³
  • cc
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/description[at0001]/items[at0053], code=at0053, itemType=ELEMENT, level=2, text=Comment, description=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., 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], ResourceSimplifiedHierarchyItem [path=/description[at0001]/items[at0054], code=at0054, itemType=SLOT, level=2, text=Additional details, description=Further structured details of the action, possibly specific to a pathway step., comment=null, 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=/description[at0001]/items[at0055], code=at0055, itemType=SLOT, level=2, text=Adverse reaction, description=Additional information regarding a specific adverse reaction event caused by exposure to a specific substance., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.adverse_reaction_event.v1, extendedValues=null]], other_participations=[]}, topLevelItems={protocol=ResourceSimplifiedHierarchyItem [path=ROOT_/protocol[at0002], code=at0002, itemType=ITEM_TREE, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], ism_transition=ResourceSimplifiedHierarchyItem [path=ROOT_/ism_transition[at0061], code=at0061, itemType=ISM_TRANSITION, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=null, subCardinalityText=null, dataType=ISM_TRANSITION, bindings=null, values=null, extendedValues=null], description=ResourceSimplifiedHierarchyItem [path=ROOT_/description[at0001], code=at0001, itemType=ITEM_TREE, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=ism_transition, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/ism_transition[at0061]_524_at0061, code=at0061, itemType=ISM_TRANSITION, level=1, text=Transfusion ordered, description=The transfusion of all blood products is requested., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ISM_TRANSITION, bindings=null, values=Current state: initial, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/ism_transition[at0062]_524_at0062, code=at0062, itemType=ISM_TRANSITION, level=1, text=Blood products ordered, description=The blood products have been ordered., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ISM_TRANSITION, bindings=null, values=Current state: initial, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/ism_transition[at0063]_526_at0063, code=at0063, itemType=ISM_TRANSITION, level=1, text=Blood products delivered, description=The blood products have been delivered to the physical place where the transfusion will take place., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ISM_TRANSITION, bindings=null, values=Current state: planned, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/ism_transition[at0064]_529_at0064, code=at0064, itemType=ISM_TRANSITION, level=1, text=Transfusion scheduled, description=Transfusion has been scheduled to be performed., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ISM_TRANSITION, bindings=null, values=Current state: scheduled, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/ism_transition[at0065]_527_at0065, code=at0065, itemType=ISM_TRANSITION, level=1, text=Transfusion postponed, description=Transfusion has been postponed., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ISM_TRANSITION, bindings=null, values=Current state: postponed, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/ism_transition[at0066]_528_at0066, code=at0066, itemType=ISM_TRANSITION, level=1, text=Transfusion cancelled, description=The transfusion has been cancelled as no longer appropriate or required., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ISM_TRANSITION, bindings=null, values=Current state: cancelled, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/ism_transition[at0067]_530_at0067, code=at0067, itemType=ISM_TRANSITION, level=1, text=Transfusion suspended, description=The transfusion has been suspended and may restart., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ISM_TRANSITION, bindings=null, values=Current state: suspended, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/ism_transition[at0068]_532_at0068, code=at0068, itemType=ISM_TRANSITION, level=1, text=Transfusion completed, description=All blood products have been administered., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ISM_TRANSITION, bindings=null, values=Current state: completed, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/ism_transition[at0069]_245_at0069, code=at0069, itemType=ISM_TRANSITION, level=1, text=Unit administration started, description=Administration of a unit of blood product has commenced., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ISM_TRANSITION, bindings=null, values=Current state: active, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/ism_transition[at0070]_245_at0070, code=at0070, itemType=ISM_TRANSITION, level=1, text=Unit administration completed, description=The blood product unit has been administered., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ISM_TRANSITION, bindings=null, values=Current state: active, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/ism_transition[at0071]_245_at0042, code=at0071, itemType=ISM_TRANSITION, level=1, text=Transfusion completed, description=All blood products have been administered., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ISM_TRANSITION, bindings=null, values=Current state: active, extendedValues=null], 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