ARCHETYPE Therapeutic item order (openEHR-EHR-INSTRUCTION.therapeutic_item_order.v1)

ARCHETYPE IDopenEHR-EHR-INSTRUCTION.therapeutic_item_order.v1
ConceptTherapeutic item order
DescriptionAn order for a therapeutic item, including a medical device, used by the individual or a carer as part of direct provision of healthcare or to mitigate a healthcare risk.
UseUse to record an order for a therapeutic item, including a medical device, used by the individual or a carer as part of direct provision of healthcare or to mitigate a healthcare risk. The scope of this archetype includes, but is not limited to an order for: - a wheelchair or crutches - a walking boot to be used for 6 weeks to treat an ankle sprain - hearing aids - non-medicated bandages or dressings - a positive expiratory pressure device for lung physiotherapy - a Frejka pillow or a Pavlik harness for treatment for developmental dysplasia of the hip - an insulin pump This archetype is designed to be used in a number of clinical contexts, including but not limited to: - a record in a clinical consultation (COMPOSITION.encounter); or - a written order by a health professional for a therapeutic item to be dispensed, administered and/or applied.
MisuseNot to be used to record the activities related to carrying out the order for the therapeutic item, such as details about actual administration or application. Use the appropiate ACTION-archetype for this purpose. Not to be used to record the ordering of blood products, which involves a fundamentally different clinical process and is likely to require different supporting information Use the INSTRUCTION.transfusion for this purpose. Not to be used to record the order for insertion of implants or medical devices such as pacemakers and defibrillators. Use the INSTRUCTION.procedure for this purpose. Not to be used to record an order for a medication, vaccine, or nutritional product for an identified individual. Use the INSTRUCTION.medication_order for this purpose. Not to be used to record an order for a therapeutic activity, such as exercise or daily peak flow measurements - use a specific archetype for this purpose. Not to be used to record an order for a medical device or therapeutic item that would be ordered as part of a supply chain, for example, an artificial hip joint used in a total hip replacement procedure.
PurposeTo record an order for a therapeutic item, including a medical device, used by the individual or a carer as part of direct provision of healthcare or to mitigate a healthcare risk.
ReferencesMedication order, Published Archetype [Internet]. OpenEHR Clinical Knowledge Manager [cited: 2023-05-10]. Available from: https://ckm.openehr.org/ckm/archetypes/1013.1.5946

Standards for medication and medical device records – technical annex [Internet]. RCP London. [cited 2015 Dec 15]. Available from: https://www.rcplondon.ac.uk/projects/outputs/standards-medication-and-medical-device-records-technical-annex
Copyright© openEHR Foundation
AuthorsAuthor name: Hanne Marte Bårholm
Organisation: Helse Vest IKT
Email: hanne.marte.sandal.barholm@helse-vest-ikt.no
Date originally authored: 2023-04-20
Other Details LanguageAuthor name: Hanne Marte Bårholm
Organisation: Helse Vest IKT
Email: hanne.marte.sandal.barholm@helse-vest-ikt.no
Date originally authored: 2023-04-20
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=Medication order, Published Archetype [Internet]. OpenEHR Clinical Knowledge Manager [cited: 2023-05-10]. Available from: https://ckm.openehr.org/ckm/archetypes/1013.1.5946 Standards for medication and medical device records – technical annex [Internet]. RCP London. [cited 2015 Dec 15]. Available from: https://www.rcplondon.ac.uk/projects/outputs/standards-medication-and-medical-device-records-technical-annex, current_contact=Hanne Marte Bårholm, Helse Vest IKT, Norway , original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=085A8C3F2144AB2173E13ADCDC025701, build_uid=2c949356-67e1-4a2f-8733-72c7802f0519, revision=1.0.0}
Keywordsorder, prescribe, therapy, therapeutic, otc, therapeutic goods, pharmaceutical, product, treatment, CPOE, assistive device
Lifecyclepublished
UIDeb644d16-2168-4920-bc04-7dd9a132d3d1
Language useden
Citeable Identifier1013.1.6811
Revision Number1.0.0
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=An order for a therapeutic item, including a medical device, used by the individual or a carer as part of direct provision of healthcare or to mitigate a healthcare risk., archetypeConceptComment=null, otherContributors=Vebjørn Arntzen, Oslo University Hospital, Norway (openEHR Editor)
Silje Ljosland Bakke, Helse Vest IKT AS, Norway (openEHR Editor)
SB Bhattacharyya, Bhattacharyyas Clinical Records Research & Informatics LLP, India
Hugo Claudio Briceño García, Catsalut, Spain
Hanne Marte Bårholm, Helse Vest IKT, Norway (openEHR Editor)
Clara Calleja Vega, CatSalut. Servei Català de la Salut., Spain
Grant Forrest, Lunaria Ltd, United Kingdom
Heather Grain, Llewelyn Grain Informatics, Australia
Mikkel Johan Gaup Grønmo, Helse Nord IKT, Norway (openEHR Editor)
Evelyn Hovenga, EJSH Consulting, Australia
Kanika Kuwelker, Helse Vest IKT, Norway (openEHR Editor)
Jörgen Kuylenstierna, eWeave AB, Sweden
michel laji!, Karolinska Institutet, Sweden
Liv Laugen, ​Oslo University Hospital, Norway, Norway (openEHR Editor)
Heather Leslie, Atomica Informatics, Australia (openEHR Editor)
Rikard Lovstrom, Swedish Medical Association, Sweden
Ian McNicoll, freshEHR Clinical Informatics, United Kingdom
Mikael Nyström, Cambio Healthcare Systems AB, Sweden
Terje Sagmyr, Helse Vest IKT, Norway (openEHR Editor)
Benjamin Senst, Germany
Natalia Strauch, Medizinische Hochschule Hannover, Germany
Norwegian Review Summary, Norwegian Public Hospitals, Norway
John Tore Valand, Helse Vest IKT, Norway (openEHR Editor)
Marit Alice Venheim, Helse Vest IKT, Norway (openEHR Editor)
Vebjørn Arntzen, Oslo universitetssykehus HF, Norway (Nasjonal IKT redaktør)
Silje Ljosland Bakke, Helse Vest IKT AS, Norway (Nasjonal IKT redaktør)
Ivar Berge, Oslo Universitetssykehus, Norway
Gunn Elin Blakkisrud, DIPS ASA, Norway
Hanne Marte Bårholm, Helse Vest IKT, Norway (Nasjonal IKT redaktør)
Kåre Flø, DIPS ASA, Norway
Mikkel Johan Gaup Grønmo, Helse Nord IKT, Norway (Nasjonal IKT redaktør)
Nina Louise Jebsen, Haukeland Universitetssykehus, Norway
Kanika Kuwelker, Helse Vest IKT, Norway (Nasjonal IKT redaktør)
Liv Laugen, Oslo universitetssykehus, Norway (Nasjonal IKT redaktør)
Svenne Naumann, Finnmarkssykehuset, Norway
Terje Nordberg, Helse Bergen, Norway
Terje Sagmyr, Helse Vest IKT, Norway (Nasjonal IKT redaktør)
Ragnhild Schultz, OUS, Norway
Andre Smitt-Ingebretsen, Sørlandet sykehus HF, Norway
John Tore Valand, Helse Vest IKT, Norway (Nasjonal IKT redaktør)
Marit Alice Venheim, Helse Vest IKT, Norway (Nasjonal IKT redaktør), originalLanguage=en, translators=
  • Norwegian Bokmål: John Tore Valand, Hanne Marthe Sandal Bårholm, Hanne Marte Bårholm, Helse Vest IKT, Helse Bergen, john.tore.valand@helse-vest-ikt.no, hanne.marte.sandal.barholm@helse-vest-ikt.no

    • , subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={source=[], identities=[], contacts=[], ism_transition=[], provider=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0005]/items[at0004], code=at0004, itemType=ELEMENT, level=2, text=Order identifier, description=Unique identifier for the order., comment=This data element allows for multiple occurrences to be defined more explicitly at run-time, 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=/protocol[at0005]/items[at0008], code=at0008, 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 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]], description=[], events=[], details=[], context=[], target=[], capabilities=[], items=[], other_participations=[], content=[], state=[], activities=[ResourceSimplifiedHierarchyItem [path=/activities[at0001], code=at0001, itemType=ACTIVITY, level=1, text=Order, description=Details of the requested order., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ACTIVITY, bindings=null, values=null, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0070], code=at0070, itemType=ELEMENT, level=2, text=Item name, description=Name of the item ordered., comment=Coding of the therapeutic item name with a terminology is preferred, where possible., 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[at0002]/items[at0143], code=at0143, itemType=SLOT, level=2, text=Item details, description=Structured details about the item., comment=For example: Size and/or model., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
    openEHR-EHR-CLUSTER.device.v1, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0092], code=at0092, itemType=ELEMENT, level=2, text=Body site, description=Name of the body site where the item is intended to be used., comment=For example: 'left upper arm', 'left ankle'. Coding of the body site 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=/activities[at0001]/description[at0002]/items[at0093], code=at0093, itemType=SLOT, level=2, text=Structured body site, description=Structured description of the body site where the item is intended to be used., 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.anatomical_location.v1 and specialisations or
    openEHR-EHR-CLUSTER.anatomical_location_circle.v1 and specialisations or
    openEHR-EHR-CLUSTER.anatomical_location_relative.v2 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0009], code=at0009, itemType=ELEMENT, level=2, text=Directions, description=Narrative description about the intended use of the item., 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[at0002]/items[at0107], code=at0107, itemType=ELEMENT, level=2, text=Monitoring instruction, description=Description about monitoring required for use of the item., comment=For example: In ordering a compression bandage, recommend monitoring distal skin status; or for an insulin pump to monitor skin around insertion., 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[at0002]/items[at0018], code=at0018, itemType=ELEMENT, level=2, text=Clinical indication, description=The clinical reason for use of the ordered item., comment=For example: 'Ankle sprain'. Coding of the clinical indication with a terminology is preferred, where possible. This data element allows multiple occurrences. It is not intended to carry an indication for administrative authorisation purposes., 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[at0002]/items[at0148], code=at0148, itemType=ELEMENT, level=2, text=Therapeutic intent, description=The therapeutic intent of the item., comment=For example: 'pain relief'. Coding of the therapeutic intent 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[at0002]/items[at0012], code=at0012, itemType=ELEMENT, level=2, text=Start date/time, description=Date/time when use of the item should commence., 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=/activities[at0001]/description[at0002]/items[at0013], code=at0013, itemType=ELEMENT, level=2, text=Stop date/time, description=Date/time when use of the item should stop., 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=/activities[at0001]/description[at0002]/items[at0011], code=at0011, itemType=ELEMENT, level=2, text=Start criterion, description=Criteria which triggers commencement of use., comment=For example: 'Start if a movement triggers pain'. This is intended for a general pre-condition which should trigger the whole treatment course to be started, and not for 'as required' administrations of an ongoing order., 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[at0002]/items[at0016], code=at0016, itemType=ELEMENT, level=2, text=Stop criterion, description=Criteria which triggers cessation of use., comment=For example: 'Stop when a movement is painless''., 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[at0002]/items[at0166], code=at0166, itemType=SLOT, level=2, text=Additional details, description=Additional structured details about the order not captured in other fields., 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[at0002]/items[at0167], code=at0167, itemType=ELEMENT, level=2, text=Comment, description=Additional narrative about the order 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]], data=[], relationships=[], credentials=[]}, topLevelItems={protocol=ResourceSimplifiedHierarchyItem [path=ROOT_/protocol[at0005], code=at0005, 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], 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[at0005]/items[at0004], code=at0004, itemType=ELEMENT, level=2, text=Order identifier, description=Unique identifier for the order., comment=This data element allows for multiple occurrences to be defined more explicitly at run-time, 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=/protocol[at0005]/items[at0008], code=at0008, 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 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]