ARCHETYPE Clinical pathway (openEHR-EHR-ACTION.clinical_pathway.v0)

ARCHETYPE IDopenEHR-EHR-ACTION.clinical_pathway.v0
ConceptClinical pathway
DescriptionA high level, standardised clinical pathway carried out to organise the delivery of healthcare.
UseUse to record information about a high level, standardised clinical pathway carried out to organise the delivery of healthcare, and its constituent high level activities. This archetype has been designed to support recording the carrying out of high level, standardised clinical pathways. Examples include, but are not limited to: - Cancer care pathways outlining the major events of a course of cancer treatment, including the start and end of investigation, particularly significant multidisciplinary team (MDT) meetings, or the start of medical, radiation or surgical treatment. - Standardised high level pathways for any type of medical or surgical treatment, such as allergen immunotherapy (AIT) or elective hyperbaric oxygen therapy (HBOT).
MisuseNot to be used to record the order for a clinical pathway. Use the INSTRUCTION.clinical_pathway_order archetype for this purpose. Not to be used to record information about individualised protocols, care plans or guidelines. Use other appropriate archetypes for this purpose.
PurposeTo record information about a high level, standardised clinical pathway carried out to organise the delivery of healthcare, and its constituent high level activities.
References
Copyright© Nasjonal IKT HF, openEHR Foundation
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
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, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=3D37EDAE8224A853A5047FF69A2B6F78, build_uid=0f53f826-6220-4a99-8739-06b8ba502398, revision=0.0.1-alpha}
Keywords
Lifecyclein_development
UID3f15bb8f-bd9b-4fcb-9d0a-9df3fe83ed9c
Language useden
Citeable Identifier1013.1.7254
Revision Number0.0.1-alpha
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=A high level, standardised clinical pathway carried out to organise the delivery of healthcare., archetypeConceptComment=null, otherContributors=, originalLanguage=en, translators=
  • Norwegian Bokmål: Bjørn Næss, Silje Ljosland Bakke, DIPS ASA , Helse Vest IKT AS, bna@dips.no, silje.ljosland.bakke@helse-vest-ikt.no

    • , subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={source=[], identities=[], contacts=[], ism_transition=[ResourceSimplifiedHierarchyItem [path=/ism_transition[at0009]_526_at0009, code=at0009, itemType=ISM_TRANSITION, level=1, text=Pathway planned, description=The pathway has been planned., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ISM_TRANSITION, bindings=null, values=Current state: planned, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/ism_transition[at0017]_527_at0017, code=at0017, itemType=ISM_TRANSITION, level=1, text=Pathway postponed, description=The pathway has been postponed., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ISM_TRANSITION, bindings=null, values=Current state: postponed, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/ism_transition[at0006]_528_at0006, code=at0006, itemType=ISM_TRANSITION, level=1, text=Pathway cancelled, description=The pathway has been cancelled., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ISM_TRANSITION, bindings=null, values=Current state: cancelled, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/ism_transition[at0008]_529_at0008, code=at0008, itemType=ISM_TRANSITION, level=1, text=Activity scheduled, description=The activity has been scheduled., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ISM_TRANSITION, bindings=null, values=Current state: scheduled, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/ism_transition[at0003]_245_at0003, code=at0003, itemType=ISM_TRANSITION, level=1, text=Activity performed, description=The activity has been performed., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ISM_TRANSITION, bindings=null, values=Current state: active, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/ism_transition[at0016]_530_at0016, code=at0016, itemType=ISM_TRANSITION, level=1, text=Pathway suspended, description=The pathway has been suspended., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ISM_TRANSITION, bindings=null, values=Current state: suspended, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/ism_transition[at0005]_531_at0005, code=at0005, itemType=ISM_TRANSITION, level=1, text=Pathway aborted, description=The pathway has been aborted., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ISM_TRANSITION, bindings=null, values=Current state: aborted, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/ism_transition[at0007]_532_at0007, code=at0007, itemType=ISM_TRANSITION, level=1, text=Pathway completed, description=The pathway has been completed., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ISM_TRANSITION, bindings=null, values=Current state: completed, extendedValues=null]], provider=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0011]/items[at0013], code=at0013, itemType=SLOT, level=2, text=Healthcare provider details, description=Details about the healthcare provider or organisation responsible for the recorded care flow step., comment=Most of the time this will be the author of the composition, but some clinical pathways have started outside of the current healthcare provider., 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=/protocol[at0011]/items[at0022], code=at0022, 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=[ResourceSimplifiedHierarchyItem [path=/description[at0001]/items[at0019], code=at0019, itemType=ELEMENT, level=2, text=Pathway name, description=The name of the clinical pathway., 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=/description[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=2, text=Activity, description=The name of the activity which was scheduled or performed., comment=This element is only relevant against the "Activity scheduled" or "Activity performed" care flow steps., 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=/description[at0001]/items[at0020], code=at0020, itemType=ELEMENT, level=2, text=Reason, description=Reason that the care flow step for the clinical pathway was carried out., comment=For example: the reason for the cancellation or suspension of the pathway. 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Rather this data element is intended to capture the reason for any divergence from a typical pathway process, such as 'Postponed' due to 'Patient had a fever', or 'Cancelled' due to 'Patient changed their mind'., 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=/description[at0001]/items[at0010], code=at0010, itemType=ELEMENT, level=2, text=Description, description=Narrative description about the pathway or activity., 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=/description[at0001]/items[at0014], code=at0014, itemType=ELEMENT, level=2, text=External activity, description=Was the activity performed outside of the healthcare provider responsible for the current health record?, comment=null, 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=/description[at0001]/items[at0018], code=at0018, itemType=SLOT, level=2, text=Additional details, description=Additional structured details about the care pathway or activity., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/description[at0001]/items[at0021], code=at0021, itemType=ELEMENT, level=2, text=Comment, description=Additional narrative about the pathway 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]], events=[], details=[], context=[], target=[], capabilities=[], items=[], other_participations=[], content=[], state=[], activities=[], data=[], relationships=[], credentials=[]}, topLevelItems={ism_transition=ResourceSimplifiedHierarchyItem [path=ROOT_/ism_transition[at0009], code=at0009, itemType=ISM_TRANSITION, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=null, subCardinalityText=null, dataType=ISM_TRANSITION, bindings=null, values=null, extendedValues=null], protocol=ResourceSimplifiedHierarchyItem [path=ROOT_/protocol[at0011], code=at0011, 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], description=ResourceSimplifiedHierarchyItem [path=ROOT_/description[at0001], code=at0001, 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]}, addHierarchyItemsTo=protocol, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/protocol[at0011]/items[at0013], code=at0013, itemType=SLOT, level=2, text=Healthcare provider details, description=Details about the healthcare provider or organisation responsible for the recorded care flow step., comment=Most of the time this will be the author of the composition, but some clinical pathways have started outside of the current healthcare provider., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
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