ARCHETYPE Laboratory test request (openEHR-EHR-INSTRUCTION.service_request-laboratory_test.v0)

ARCHETYPE IDopenEHR-EHR-INSTRUCTION.service_request-laboratory_test.v0
ConceptLaboratory test request
DescriptionAn order or instruction for a laboratory test service.
UseUse to record a request for a laboratory test service. The archetype has been designed to represent a request for one or more laboratory tests, in one of three ways: - If multiple services need to be requested and the information recorded in all other 'data' elements (for example, Clinical Indication, 'Reason for request', and 'Service due') and the 'protocol' (for example 'Receiver') are appropriate and relevant for each service requested - record each service using one or more occurrences of the 'Service name' within a single 'Activity' instance within this archetype. - If multiple services need to be requested and the information recorded in all other 'data' elements (for example, 'Fasting status', 'Clinical Indication', 'Reason for request', and 'Service due') differs for each service requested but the information recorded in the 'protocol' (for example 'Receiver') is the same - use a separate 'Activity' instance within this archetype for each request. - If multiple services need to be requested and the information recorded in all other 'data' elements (for example, 'Fasting status', 'Clinical Indication', 'Reason for request', and 'Service due') are appropriate and relevant for each service requested but the information recorded in the 'protocol' (for example 'Receiver') is different - use a separate instance of this archetype for each request. The 'Service due' data element supports common use cases for stipulating the simple timing for delivery of the request/s on a single occasion. For situations with more complicated timing requirements or a series of services, use the CLUSTER.service_direction archetype within the 'Complex timing' SLOT. Implementation examples: - Consider a clinician managing an elderly patient with Type 2 Diabetes ordering 'HbA1c' and a fasting 'Glucose' - the 'Service name' will carry both 'Haemoglobin A1C' and 'Glucose'; the 'Clinical indication' may be 'Type 2 Diabetes'; the 'Reason for request' may be 'Monitor glucose control' and 'Fasting status' will be 'Fasting'. - Consider a clinician managing a patient with chest pain - the 'Service name' will carry 'Urea', 'Electrolytes', 'Creatinine', 'GFR estimated (eGFR)', 'Glucose', 'Liver function tests', 'Troponin I', 'Troponin T', and 'Full blood count'; 'Clinical indication' will be 'Chest pain'; the 'Reason for request may be 'Exclude AMI'; and the 'Clinical context' may be '4 hours of atypical left-sided chest pain and associated nausea'. - Consider a clinician ordering a recurring blood test, such as an INR. The complex timing for this requires the use of the CLUSTER.service_direction and associated CLUSTER.timing_nondaily archetype nested within the 'Complex timing' SLOT to clearly define the frequency and timing for each sequence in a series of tests, such as 'daily for one week, weekly for 4 weeks, monthly for 6 months'. 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.
MisuseNot to be used to record details about the activities that document how an order or request has been carried out - use an ACTION archetype for this purpose. For example ACTION.service archetype or a more purpose-specific archetype from the ACTION class for this purpose. Not to be used to record a Laboratory test result - use the OBSERVATION.laboratory_test_result for this purpose.
PurposeTo record a request for a laboratory test service.
ReferencesAnecdotal evidence provided by existing laboratory test request forms.
Copyright© openEHR Foundation
AuthorsAuthor name: Dr Heather Leslie
Organisation: Atomica Informatics, Australia
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2024-04-04
Other Details LanguageAuthor name: Dr Heather Leslie
Organisation: Atomica Informatics, Australia
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2024-04-04
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=Anecdotal evidence provided by existing laboratory test request forms., current_contact=Heather Leslie, Atomica Informatics, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=9A8CFFE3E47A685CF8061F6369D76522, build_uid=e4a1307e-fea8-4a83-a1a2-419368eaabe3, revision=0.0.1-alpha}
Keywordsrequest, order, service, provide, referral
Lifecyclein_development
UID9d0f49c7-f910-41cc-9627-640f152566ed
Language useden
Citeable Identifier1013.1.7230
Revision Number0.0.1-alpha
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=An order or instruction for a laboratory test service., 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=
  • German: Alina Rehberg, Natalia Strauch, Medizinische Hochschule Hannover, rehberg.alina@mh-hannover.de, Strauch.Natalia@mh-hannover.de
  • Swedish: Sofia Janstad, SLL, sofia.lang-janstad@sll.se
  • Norwegian Bokmål: Silje Ljosland Bakke, Marit Alice Venheim, Nasjonal IKT HF, Norway, Helse Vest IKT, marit.alice.venheim@helse-vest-ikt.no
  • Portuguese (Brazil): Vladimir Pizzo, Clínica Parente Pizzo, vrppizzo@gmail.com
  • Italian: Francesca Frexia, CRS4 - Center for advanced studies, research and development in Sardinia, Pula (Cagliari), Italy, francesca.frexia@crs4.it
  • Dutch: Mattijs Kuhlmann, Joost Holslag, Nedap, mattijs.kuhlmann@nedap.com, joost.holslag@nedap.com
, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={items=[], description=[], context=[], 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 service/s requested., comment=Coding of the 'Service name' with an external terminology is strongly recommended, if available. This data element allows multiple occurrences to enable the user to record a multiple services as part of a single request, if required., uncommonOntologyItems=null, occurencesFormal=1..*, occurencesText=Mandatory, repeating, 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 an external terminology is desirable, if available. If the 'Service name' was coded, it is possible for this data point to be derived from the code., 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[at0152], code=at0152, itemType=ELEMENT, level=2, text=Clinical indication, description=The symptom, sign or diagnosis that necessitates the requested service., comment=Coding of the 'Clinical indication' with an external terminology is recommended, 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[at0154], code=at0154, itemType=ELEMENT, level=2, text=Clinical context, description=Narrative information about the individual and their situation, providing relevant context for the request., 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[at0062], code=at0062, itemType=ELEMENT, level=2, text=Reason for request, description=The specific problem needing attention or the clinical question that requires investigation., comment=Coding of the 'Reason for request' with an external terminology 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[at0064], code=at0064, itemType=ELEMENT, level=2, text=Reason description, description=Narrative description about the issue or clinical query that needs resolution., 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[at0065], code=at0065, itemType=ELEMENT, level=2, text=Intent, description=Description of the intended outcome of the request., comment=Coding of the 'Intent' with an external terminology is recommended, 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[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 an external terminology 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. More precise timing requirements should be specified using the 'Service due' data element or the CLUSTER.service_direction archetype within the 'Complex timing' SLOT., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
  •  Coded Text
    • Emergency [The request requires immediate attention.]
    • Urgent [The request requires prioritised attention.]
    • Routine [The request does not require prioritised scheduling.]
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0009]/items[at0040], code=at0040, itemType=ELEMENT, level=2, text=Service due, description=The date/time or description about timing for provision of the requested service/s., comment=This data element allows for recording of the timing for the service/s, either as a date and time, an interval of date and time, or a text descriptor. In practice, clinicians will often think in terms of ordering services as relative or approximate timing, for example: 'next available', or in '3 months'. As clinical systems need more exact parameters to operate on, this '3 months' will usually be converted to an exact date 3 months from the date of recording and stored using this data element. If complex timing or sequences of timings are required, use the CLUSTER.service_direction archetype within the 'Complex timing' SLOT and this data element becomes redundant., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
  •  Date/Time
  •  Text
  •  Interval of Date/Time

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0009]/items[at0151], code=at0151, itemType=SLOT, level=2, text=Complex timing, description=Details about a complex service request requiring a sequence of timings., comment=For example: 'hourly vital signs observations for 4 hours, then 4 hourly for 20 hours' or 'every third Wednesday for 3 visits' or 'Day 14-16 of the menstrual cycle'. If complex timing or sequences of timings are required using the CLUSTER.service_direction archetype in this SLOT, the 'Service due' data element becomes redundant., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.service_direction.v1 and specialisations or
openEHR-EHR-CLUSTER.timing_daily.v1 and specialisations or
openEHR-EHR-CLUSTER.timing_nondaily.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0009]/items[at0132], code=at0132, itemType=SLOT, level=2, text=Specific details, description=Additional detail about the service requested., 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[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.media_file.v1 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], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0009]/items[at0.4], code=at0.4, itemType=ELEMENT, level=2, text=Fasting status, description=Request requirement for the patient to be fasted at the time of specimen collection., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
  •  Coded Text
    • Fasting [The test should be carried out on a fasted individual.]
    • Non-fasting [The test should be carried out on a non-fasted individual.]
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0009]/items[at0.3], code=at0.3, itemType=SLOT, level=2, text=Requested specimen, description=Details about specific specimen and collection conditions required as part of this laboratory 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.specimen.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0009]/items[at0.7], code=at0.7, itemType=SLOT, level=2, text=Collected specimen, description=Details about a specimen that has been collected either by the requester or self-collected by the patient, and submitted for analysis as part of this laboratory request., 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.specimen.v1 and specialisations, extendedValues=null]], identities=[], capabilities=[], provider=[], protocol=[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:
  •  Text
  •  Identifier
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0008]/items[at0141], code=at0141, itemType=SLOT, level=2, text=Requester, description=Details about the clinician or organisation requesting the service., 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.person.v1 and specialisations, 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:
  •  Text
  •  Identifier
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0008]/items[at0142], code=at0142, itemType=SLOT, level=2, text=Receiver, description=Details about the clinician or organisation receiving the request for service., 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.person.v1 and specialisations or
openEHR-EHR-CLUSTER.organisation.v1 and specialisations, 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.person.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0008]/items[at0155], code=at0155, itemType=SLOT, level=2, text=Urgent contact person, description=Details about the designated contact person and preferred mode of contact for urgent or emergency notifications related to this request., comment=For example: if the outcome of the request requires an urgent or emergency response by the requester., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.person.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0008]/items[at0112], code=at0112, itemType=SLOT, level=2, text=Extension, description=Additional information required to extend the model with local content or to align with other reference models or formalisms., comment=For example: local information requirements; or additional metadata to align with FHIR., 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]], content=[], source=[], credentials=[], events=[], data=[], contacts=[], ism_transition=[], details=[], relationships=[], state=[], target=[], other_participations=[]}, 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:
  •  Text
  •  Identifier
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0008]/items[at0141], code=at0141, itemType=SLOT, level=2, text=Requester, description=Details about the clinician or organisation requesting the service., 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.person.v1 and specialisations, 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:
  •  Text
  •  Identifier
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0008]/items[at0142], code=at0142, itemType=SLOT, level=2, text=Receiver, description=Details about the clinician or organisation receiving the request for service., 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.person.v1 and specialisations or
openEHR-EHR-CLUSTER.organisation.v1 and specialisations, 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.person.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0008]/items[at0155], code=at0155, itemType=SLOT, level=2, text=Urgent contact person, description=Details about the designated contact person and preferred mode of contact for urgent or emergency notifications related to this request., comment=For example: if the outcome of the request requires an urgent or emergency response by the requester., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.person.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0008]/items[at0112], code=at0112, itemType=SLOT, level=2, text=Extension, description=Additional information required to extend the model with local content or to align with other reference models or formalisms., comment=For example: local information requirements; or additional metadata to align with FHIR., 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]