ARCHETYPE ID | openEHR-EHR-INSTRUCTION.service_request.v1 |
Concept | Service request |
Description | Request for a health-related service or activity to be delivered by a clinician, organisation or agency. |
Use | Use to record a request for a health-related service or activity to be delivered by a clinician, organisation or agency. This archetype has been designed as a framework that can be used as the basis for: - a request from one clinician, organisation or agency to another clinician, organisation or agency for a health-related service. For example: a referral to a specialist clinician for treatment or a second clinical opinion; transfer of care to an emergency department; four hourly vital signs monitoring; and provision of home services from a municipal council; or - a request for a follow up service to be scheduled for the same clinician, organisation or agency. For example: a review appointment in outpatients in 6 weeks. Clinical use cases: - consider a clinician ordering a follow-up appointment in 6 weeks. 'Follow-up appointment' will be the 'Service name'. If they enter '6 weeks' as the proposed timing for the appointment in the User Interface, the clinical system will record the date six weeks from today in the 'Service due' data element. - consider a clinician ordering Diabetes Education as the 'Service name'. The values for 'Reason for request' may be 'New diagnosis' and 'Prevention of ketoacidosis'. The 'Clinical indication' will be 'Diabetes Type 1', which may be linked to the Problem Diagnosis and/or Laboratory test results. If a 4 week course is required, with sessions organised at weekly intervals on 4 separate occasions, then the complex timing requires use of the CLUSTER.service_direction and associated CLUSTER.timing_nondaily archetype. - consider a clinician ordering a recurring blood test, such as an INR. The complex timing for this requires use of the CLUSTER.service_direction and associated CLUSTER.timing_nondaily archetype to define each timing in a sequence of tests, such as 'daily for one week, weekly for 4 weeks, monthly for 6 months'. The default assumption for this archetype is that it's a request for a single service. If a series of services are required, use the CLUSTER.service_direction archetype within the 'Complex timing' SLOT. In many situations it will be possible to record the steps that occur as part of this request being carried out using the corresponding generic ACTION.service. However, there will be many occasions where the required ACTION archetype will be very specific for purpose, as the data requirements for recording provision of many health-related services will need quite unique data elements, recording patterns or pathway steps. For example: ACTION.screening or ACTION.health_education. |
Purpose | Generic request framework for a health-related service or activity to be delivered by a clinician, organisation or agency. |
References | |
Copyright | © openEHR Foundation, Nasjonal IKT HF |
Authors | Author name: Dr Ian McNicoll Organisation: Ocean Informatics, United Kingdom Email: ian.mcnicoll@oceaninformatics.com Date originally authored: 2009-12-08 |
Other Details Language | Author name: Dr Ian McNicoll Organisation: Ocean Informatics, United Kingdom Email: ian.mcnicoll@oceaninformatics.com Date originally authored: 2009-12-08 |
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, current_contact=Heather Leslie, Atomica Informatics |
Keywords | request, order, service, provide, referral |
Lifecycle | published |
UID | d7cf88fd-5324-4005-9f1b-d0f4f8e112ba |
Language used | en |
Citeable Identifier | 1013.1.614 |
Revision Number | 1.1.1 |
All | Archetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Request for a health-related service or activity to be delivered by a clinician, organisation or agency., archetypeConceptComment=null, otherContributors=Fatima Almeida, Critical SW, Portugal Tomas Alme, DIPS ASA, Norway Vebjørn Arntzen, Oslo University Hospital, Norway Koray Atalag, University of Auckland, New Zealand Silje Ljosland Bakke, Nasjonal IKT HF, Norway (openEHR Editor) Lars Bitsch-Larsen, Haukeland University hospital, Norway Anita Bjørnnes, Helse Bergen, Norway Lisbeth Dahlhaug, Helse Midt - Norge IT, Norway Einar Fosse, UNN HF, Norwegian Centre for Integrated Care and Telemedicine, Norway Hildegard Franke, freshEHR Clinical Informatics Ltd., United Kingdom Heather Grain, Llewelyn Grain Informatics, Australia Knut Harboe, Stavanger Universitetssjukehus, Norway Sam Heard, Ocean Informatics, Australia Ingrid Heitmann, Oslo universitetssykehus HF, Norway Andreas Hering, Helse Bergen HF, Haukeland universitetssjukehus, Norway Anca Heyd, DIPS ASA, Norway Hilde Hollås, DIPS AS, Norway Evelyn Hovenga, EJSH Consulting, Australia Lars Ivar Mehlum, Helse Bergen HF, Norway Lars Morgan Karlsen, DIPS ASA, Norway Shinji Kobayashi, Kyoto University, Japan Heather Leslie, Atomica Informatics, Australia (openEHR Editor) Hallvard Lærum, Direktoratet for e-helse, Norway Rose Mari Eikås, Helse Bergen, Norway Ole Martin Sand, DIPS ASA, Norway Hildegard McNicoll, freshEHR Clinical Informatics Ltd., United Kingdom Ian McNicoll, freshEHR Clinical Informatics, United Kingdom (openEHR Editor) Bjørn Næss, DIPS ASA, Norway Andrej Orel, Marand d.o.o., Slovenia Anne Pauline Anderssen, Helse Nord RHF, Norway Pablo Pazos, CaboLabs.com Health Informatics, Uruguay Rune Pedersen, Universitetssykehuset i Nord Norge, Norway Jussara Rotzsch, Hospital Alemão Oswaldo Cruz, Brazil Line Silsand, Universitetssykehuset i Nord-Norge, Norway Norwegian Review Summary, Nasjonal IKT HF, Norway Line Sæle, Nasjonal IKT HF, Norway Nyree Taylor, Ocean Informatics, Australia John Tore Valand, Haukeland Universitetssjukehus, Norway (Nasjonal IKT redaktør) Richard Townley-O'Neill, Australian Digital Health Agency, Australia Gro-Hilde Ulriksen, Norwegian center for ehealthresearch, Norway, originalLanguage=en, translators=
All not explicitly excluded archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0008]/items[at0011], code=at0011, itemType=ELEMENT, level=2, text=Receiver order identifier, description=The local identifier assigned to the request by the clinician or organisation receiving the request for service., comment=Usually equivalent to the HL7 Filler Order Identifier., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
All not explicitly excluded archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0008]/items[at0127], code=at0127, itemType=ELEMENT, level=2, text=Request status, description=The status of the request for service as indicated by the requester., comment=Status is used to denote whether this is the initial request, or a follow-up request to change or provide supplementary information. Coding 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=/protocol[at0008]/items[at0128], code=at0128, itemType=SLOT, level=2, text=Distribution list, description=Details of additional clinicians, organisations or agencies who require copies of any communication., 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.distribution.v1, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0008]/items[at0112], code=at0112, itemType=SLOT, level=2, text=Extension, description=Additional information required to capture local content or to align with other reference models/formalisms., comment=For example: 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]], target=[], credentials=[], items=[], ism_transition=[], relationships=[], context=[], description=[], state=[], details=[], data=[], content=[], events=[], capabilities=[], contacts=[], activities=[ResourceSimplifiedHierarchyItem [path=/activities[at0001], code=at0001, itemType=ACTIVITY, level=1, text=Current Activity, description=Current Activity., comment=null, uncommonOntologyItems=null, occurencesFormal=1..*, occurencesText=Mandatory, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ACTIVITY, bindings=null, values=null, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0009]/items[at0121], code=at0121, itemType=ELEMENT, level=2, text=Service name, description=The name of the single service or activity requested., comment=Coding of the 'Service name' with a coding system is desirable, if available. For example: 'referral' to an endocrinologist for diabetes management., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0009]/items[at0148], code=at0148, itemType=ELEMENT, level=2, text=Service type, description=Category of service requested., comment=Coding of the 'Service type' with a coding system is desirable, if available. If the 'Service name' was coded, it is possible for this data point to be derived from the code. For example: biochemistry or microbiology laboratory, ultrasound or CT imaging., 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=/activities[at0001]/description[at0009]/items[at0135], code=at0135, itemType=ELEMENT, level=2, text=Description, description=Narrative description about the service requested., comment=This data point should be used to describe the named service in more detail, including how it should be delivered, patient concerns and issues that might be encountered in delivering the service., 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=/activities[at0001]/description[at0009]/items[at0153], code=at0153, itemType=ELEMENT, level=2, text=Order detail, description=Additional details and instructions about how the services are to be delivered., comment=Coding of the order detail with a terminology is preferred, where possible. This data element allows multiple occurrences. , uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0009]/items[at0062], code=at0062, itemType=ELEMENT, level=2, text=Reason for request, description=A short phrase describing the reason for the request., comment=Coding of the 'Reason for request' with a coding system is desirable, if available. This data element allows multiple occurrences to enable the user to record a multiple responses, if required. For example: 'manage diabetes complications'., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0009]/items[at0064], code=at0064, itemType=ELEMENT, level=2, text=Reason description, description=Narrative description about the reason for request., comment=For example: 'The patient's diabetes has recently become more difficult to stabilise and renal function is deteriorating'., 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=/activities[at0001]/description[at0009]/items[at0152], code=at0152, itemType=ELEMENT, level=2, text=Clinical indication, description=The clinical reason for the ordered service., comment=Coding of the clinical indication with a terminology is preferred, where possible. This data element allows multiple occurrences. For example: 'Angina' or 'Type 1 Diabetes mellitus'., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0009]/items[at0065], code=at0065, itemType=ELEMENT, level=2, text=Intent, description=Description of the intent for the request., comment=For example: a referral to a specialist may have the intent of the specialist taking over responsibility for care of the patient, or it may be to provide a second opinion on treatment options. Coding of the 'Intent' with a coding system is desirable, if available. This data element allows multiple occurrences to enable the user to record a multiple responses, if required., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0009]/items[at0068], code=at0068, itemType=ELEMENT, level=2, text=Urgency, description=Urgency of the request for service., comment=Specific definitions of emergency and urgent will vary between clinical contexts, clinical systems and the nature of the request itself, so have not been defined in this archetype. If explicit timing is required then the Service period should be clearly stated., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
openEHR-EHR-CLUSTER.service_ All not explicitly excluded archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0009]/items[at0149], code=at0149, itemType=SLOT, level=2, text=Supporting information, description=Digital document, image, video or diagram supplied as additional information to support or inform the request., 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.multimedia.v1 and specialisations or openEHR-EHR-CLUSTER.multimedia.v0 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0009]/items[at0076], code=at0076, itemType=ELEMENT, level=2, text=Supplementary information, description=Supplementary information will be following request., comment=Record as TRUE if additional information has been identified and will be forwarded when available. For example: pending test results., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=Allowed values: {true}, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0009]/items[at0078], code=at0078, itemType=ELEMENT, level=2, text=Information description, description=Description of the supplementary information., 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=/activities[at0001]/description[at0009]/items[at0116], code=at0116, itemType=SLOT, level=2, text=Patient requirements, description=Language, transport or other personal requirements to support the patient's attendance or participation in provision of the service., 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=/activities[at0001]/description[at0009]/items[at0150], code=at0150, itemType=ELEMENT, level=2, text=Comment, description=Additional narrative about the service request 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]], provider=[]}, topLevelItems={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=0..1, cardinalityText=optional, subCardinalityFormal=1..*, subCardinalityText= , dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], activities=ResourceSimplifiedHierarchyItem [path=ROOT_/activities[at0001], code=at0001, itemType=ACTIVITY, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=0..*, cardinalityText=Minimum of 0 items , subCardinalityFormal=null, subCardinalityText=null, dataType=ACTIVITY, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=protocol, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/protocol[at0008]/items[at0010], code=at0010, itemType=ELEMENT, level=2, text=Requester order identifier, description=The local identifier assigned by the requesting clinical system., comment=Usually equivalent to the HL7 Placer Order Identifier., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
All not explicitly excluded archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0008]/items[at0011], code=at0011, itemType=ELEMENT, level=2, text=Receiver order identifier, description=The local identifier assigned to the request by the clinician or organisation receiving the request for service., comment=Usually equivalent to the HL7 Filler Order Identifier., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
All not explicitly excluded archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0008]/items[at0127], code=at0127, itemType=ELEMENT, level=2, text=Request status, description=The status of the request for service as indicated by the requester., comment=Status is used to denote whether this is the initial request, or a follow-up request to change or provide supplementary information. Coding 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=/protocol[at0008]/items[at0128], code=at0128, itemType=SLOT, level=2, text=Distribution list, description=Details of additional clinicians, organisations or agencies who require copies of any communication., 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.distribution.v1, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0008]/items[at0112], code=at0112, itemType=SLOT, level=2, text=Extension, description=Additional information required to capture local content or to align with other reference models/formalisms., comment=For example: 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] |