ARCHETYPE Blood loss (openEHR-EHR-OBSERVATION.fluid_output-blood.v0)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.fluid_output-blood.v0
ConceptBlood loss
DescriptionThe measurement of blood loss from the body via any mechanism.
UseUse to record details about measured fluids lost or excreted via any mechanism. This archetype will be used to record details about: - each single measurement, for example the volume of each bleeding event from a single source; or - the total amount of bleeding over a specified period of time, for example the blood loss over an 8 hour nursing shift. Each fluid measurement should be recorded using a separate instance of this archetype. Each separate source of blood loss may be recorded using a separate instance of this archetype. The details recorded using this blood loss archetype may inform fluid balance calculations.
MisuseNot to be used to record fluid input. Use OBSERVATION.fluid_input for this purpose. Not to be used to record fluid balance calculations or to record the calculation of insensible fluid loss. Use OBSERVATION.fluid_balance for this purpose.
PurposeTo record details about measured blood loss loss via any mechanism.
ReferencesFluid Output, 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_1013.1.1204.
Copyright© Australian Digital Health Agency, openEHR Foundation, Nasjonal IKT HF
AuthorsAuthor name: Heather Leslie
Organisation: Atomica Informatics, Australia
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2019-11-11
Other Details LanguageAuthor name: Heather Leslie
Organisation: Atomica Informatics, Australia
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2019-11-11
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 Output, 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_1013.1.1204., current_contact=Heather Leslie, Atomica Informatics, heather.leslie@atomicainformatics.com, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=0F684951213ADBA2EAB0423C8F80C30D, build_uid=ca41a4da-e6be-4415-8a88-926751403eba, revision=0.0.1-alpha}
Keywordsfluid, balance, output, drain, drainage, bleeding, exsanguination, hypovolaemia
Lifecyclein_development
UIDd1fdc700-d729-49f4-88bf-74559c51cf65
Language useden
Citeable Identifier1013.1.4239
Revision Number0.0.1-alpha
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=The measurement of blood loss from the body via any mechanism., 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
Stephen Chu, NEHTA, Australia
Stig Erik Hegrestad, Helse Førde, Norway
Hildegard Franke, freshEHR Clinical Informatics Ltd., United Kingdom
Mikkel Gaup Grønmo, FSE, Helse Nord, Norway
Christian Ghan, The Chris O'Brien Lifehouse at RPA, Australia
Heather Grain, Llewelyn Grain Informatics, Australia
Cecilie Graver, Oslo universitetssykehus HF, Norway
Sam Heard, Ocean Informatics, Australia (Editor)
Ingrid Heitmann, Oslo universitetssykehus HF, Norway
Annette Hole Sjøborg, DIPS ASA, Norway
Hilde Hollås, DIPS ASA, Norway
Oliver Hosking, Remote Health NT, Australia
Evelyn Hovenga, EJSH Consulting, Australia
Lars Ivar Mehlum, Helse Bergen HF, Norway
Tom Jarl Jakobsen, Helse Bergen, Norway
Lars Morgan Karlsen, DIPS ASA, Norway
Harmony Kosola, Alberta Health Services, Canada
Anne Kristin Strand, Sykehuspartner HF, Norway
Heather Leslie, Atomica Informatics, 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
Fabian Schwarz, NT Health, Australia
Anoop Shah, University College London, United Kingdom
Gary Sinclair, NT DoH, Australia
Iztok Stotl, UKCLJ, Slovenia
Roy Støle, OUS, Norway
Norwegian Review Summary, Nasjonal IKT HF, Norway
Nyree Taylor, Ocean Informatics, Australia
Tesfay Teame, Folkehelseinstittutet, Norway
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 universitetssykehus 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[at0036.1], code=at0036.1, itemType=ELEMENT, level=4, text=Fluid name, description=Identification of the fluid lost or excreted., comment=For example: urine or vomit. Coding of fluid name with a terminology is preferred, if possible., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Blood [Fluid loss from the body as a result of bleeding.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0041], code=at0041, itemType=ELEMENT, level=4, text=Source, description=The source from which the fluid is lost or excreted., comment=For example: drain tube; urinary catheter or nasopharyngal tube. In a clinical application, if the same type of fluid is being observed from two or more sources such as multiple drains from the same wound, the source may be described as “Drain tube 1” and “Drain tube 2”. Coding of the source with a terminology is preferred, where possible., 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., comment=If absorbant material, such as diapers and dressings, are weighed as part of managing fluid loss estimates, the weight will need to be converted to a volume for recording., 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[at0038], code=at0038, itemType=SLOT, level=4, text=Fluid details, description=Additional details about the fluid, including macroscopic appearance or other tests not currently captured in the structured data., comment=For example: the colour of the urine. , 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 output 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], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0.2], code=at0.2, itemType=ELEMENT, level=4, text=Blood clots?, description=Description the presence or absence of blood clots., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Present [Blood clots were present.]
  • Absent [Blood clots were not present.]
, 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=Output device, description=Details of the device that was used to collect the fluid., comment=For example: a urinary catheter or a drain tube., 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=Details of the device used to measure the fluid output., comment=For example: Urinary drainage bag., 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=Output device, description=Details of the device that was used to collect the fluid., comment=For example: a urinary catheter or a drain tube., 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=Details of the device used to measure the fluid output., comment=For example: Urinary drainage bag., 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]], minIndents={}, termBindingRetrievalErrorMessage=null]