ARCHETYPE Care pathway order (openEHR-EHR-INSTRUCTION.clinical_pathway_order.v0)

ARCHETYPE IDopenEHR-EHR-INSTRUCTION.clinical_pathway_order.v0
ConceptCare pathway order
DescriptionAn order for a standardised care process for a specific condition or treatment.
Use

Use to order the initiation of a standardised care process for a specific condition or treatment. Clinical guidelines can inform care pathways, and the interventions or other activities recommended by a pathway may be operationalised as an individualised care plan.

The scope of this archetype includes, but is not limited to orders for standardised pathways for any type of acute, chronic or preventive management. For example:

  • Cancer care pathways, for example post-surgical instillation treatment for bladder cancer
  • Perioperative pathways, for example total hip replacement
  • Mental health pathways, for example anorexia treatment pathway
  • Vaccination schedules, for example 0-5 childhood vaccination schedule
  • Chronic disease protocols, for example diabetes management

In this archetype, the terms “pathway” and “plan” are used to mean the following:

  • Pathway: A pathway is a standardised process for a specific condition or treatment, commonly with a predetermined start and end. The interventions or other activities recommended by a pathway may be operationalised as a plan.
  • Plan: A care plan or treatment plan is tailored to a specific individual, is usually dynamic and updated as the individual’s condition changes. Plans are often developed collaboratively between the individual and their healthcare team, and oriented around specific goals, interventions and evaluations.
MisuseNot to be used to record information about the execution of the care pathway. Use the ACTION.care_pathway archetype for this purpose. Not to be used to record orders for specific activities recommended by a care pathway. Use separate and specific instances of INSTRUCTION.service_request or similar archetypes for this purpose. Examples of specific activities include, but are not limited to: multi-disciplinary team meetings, diagnostic tests, consultations, or measurements. Not to be used to record information about treatment goals. Use EVALUATION.goal or other appropriate archetypes for this purpose.
PurposeTo order the initiation of a standardised care process for a specific condition or treatment.
References
Copyright© Nasjonal IKT HF
AuthorsAuthor name: Bjørn Næss
Organisation: DIPS ASA
Email: bna@dips.no
Date originally authored: 2015-06-20
Other Details LanguageAuthor name: Bjørn Næss
Organisation: DIPS ASA
Email: bna@dips.no
Date originally authored: 2015-06-20
Other Details (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: Nasjonal IKT
  • References:
  • Current Contact: Bjørn Næss, DIPS ASA
  • Original Namespace: no.nasjonalikt
  • Original Publisher: Nasjonal IKT
  • Custodian Namespace: no.nasjonalikt
  • MD5-CAM-1.0.1: 4EEF8A819AE46A72F534CDA9EC72C697
  • Build Uid: b6d1733f-21b8-4261-839b-3bd06bfc5ff1
  • Revision: 0.0.1-alpha
Keywords
Lifecyclein_development
UID3a0aa802-df3c-44e7-bf78-3446943607fd
Language useden
Citeable Identifier1013.1.7253
Revision Number0.0.1-alpha
activities
OrderOrder: Details of the requested order.
Care pathway nameCare pathway name: The name of the care pathway.
For example: 'Breast cancer pathway'. Coding of the care pathway name with a terminology is preferred, where possible.
DescriptionDescription: Narrative description about care pathway order.
Clinical indicationClinical indication: The clinical reason for ordering care pathway.
For example: 'Cancer'. Coding of the clinical indication with a terminology is preferred, where possible.
Start date/timeStart date/time: Date/time when the ordered care pathway should commence.
End date/timeEnd date/time: Date/time when the ordered care pathway should end.
Additional detailsAdditional details: Additional structured details about the care pathway order.
Knowledge base referenceKnowledge base reference: Structured details about a knowledge base item used in the care pathway order.
Include:
openEHR-EHR-CLUSTER.knowledge_base_reference.v1 and specialisations
CommentComment: Additional narrative about the care pathway order not captured in other fields.
protocol
Review dateReview date: The date at which the care pathway order is due to be reviewed.
ExtensionExtension: Additional information required to extend the model with local content or to align with other reference models or formalisms.
For example: local information requirements; or additional metadata to align with FHIR.
Include:
All not explicitly excluded archetypes
Other contributors
Translators
  • Norwegian Bokmål: Silje Ljosland Bakke, Helse Vest IKT AS, silje.ljosland.bakke@helse-vest-ikt.no