| ARCHETYPE ID | openEHR-EHR-EVALUATION.implanted_device_summary.v0 |
|---|---|
| Concept | Implanted medical device summary |
| Description | A summary or overview detailing the history and context of use for a specified type of implantable medical device, including details about specific implantation episodes. |
| Use | Use to record a summary or overview of a single implanted medical device, or category of device. The intended scope of this archetype includes, but is not limited to:
This archetype has been specifically designed to:
The repeating 'Specific implant details' CLUSTER supports documentation about each insertion of each specific medical device, including more precise identification and summary details about the device insertion and removal. This archetype can be further developed to document medical device details such as the manufacturer, batch numbers and device identifiers by nesting the CLUSTER.device_details in the 'Structured device detail' SLOT. In practice, some clinical systems will need to record specific and detailed INSTRUCTION and ACTION archetypes to reflect the request for a medical device and subsequent activities that need to be recorded as that request is carried out. There will inevitably be some overlap between this summary and these detailed archetypes. All may be necessary in different contexts however, where possible, ideally this summary should be derived from the point of care INSTRUCTION and ACTION documentation by clinicians, to prevent the need for clinicians to duplicate data input. |
| Misuse | Not to be used to request a medical device. Use a relevant INSTRUCTION archetype for this purpose. Not to be used to record the activities that occur in the insertion or removal of an implant. Use the ACTION.procedure archetype for this purpose. |
| Purpose | To record a summary or overview detailing the history and context of use for a specified type of implantable medical device. |
| References | |
| Copyright | © openEHR Foundation |
| Authors | Author name: Heather Leslie Organisation: Atomica Informatics Email: heather.leslie@atomicainformatics.com Date originally authored: 2024-04-24 |
| Other Details Language | Author name: Heather Leslie Organisation: Atomica Informatics Email: heather.leslie@atomicainformatics.com Date originally authored: 2024-04-24 |
| Other Details (Language Independent) |
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| Keywords | |
| Lifecycle | in_development |
| UID | 18925e2d-361d-4676-b6eb-e97f9a537a3b |
| Language used | en |
| Citeable Identifier | 1013.1.7294 |
| Revision Number | 0.0.1-alpha |
| data | |
| Device type name | Device type name: Name of the medical device category. Coding of the ‘Device name' with an external terminology is strongly recommended, if available. For example: 'cochlear implant'; 'pacemaker'; 'aneurysm clip'; 'joint replacement'; 'coronary stent'; 'bone fixation device eg screws or a plate'; or 'deep brain stimulator'. |
| Overall status | Overall status: Assertion about the whether the device type is currently in situ.
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| Overall description | Overall description: A narrative description about the history or context of use for this device type over time. For instance: a summary or overview of any or all insertions and/or removals. |
| Implant body site | Implant body site: Identification of the body structure or region where the all devices of this type have been inserted. If the implanted device is not usually located in the same body structure or region, the actual site of implantation should be specified using the 'Specific implant body site' element within the 'Specific implanted device details' CLUSTER. If the device is implanted at its usual site but requires further precision, the 'Specific implant body site' may also be used to record the exact location. |
| Specific implanted device details | Specific implanted device details: Details about a specific implanted medical device. This repeating group supports documentation supports documentation about each insertion of each specific medical device, including more precise identification and summary details about the medical device insertion and/or removal. This group can be further to document medical device details such as the manufacturer, batch numbers and device identifiers by nesting the 'Device details' data group in the 'Structured device detail' SLOT. |
| Device name | Device name: Name of the implanted medical device. Coding of the ‘Specific device name' with an external terminology is preferred, if available. |
| Label | Label: An alternative name or label to identify a specific device, when the 'Device name' is not unique. Use this field to identify a specific medical device when there are multiple devices of the same type or model implanted at the same time, such as aneurysm clips or vascular stents placed on different blood vessels or in different locations on the same blood vessel. |
| Status | Status: Assertion about the whether the identified device is currently in situ.
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| Description | Description: Narrative description about the device. |
| Insertion date | Insertion date: The Date/time when the device was implanted. Partial dates are not permitted for contemporaneous recording. |
| Specific implant body site | Specific implant body site: Identification of the area of the body where the specified device has been implanted. |
| Structured implant body site | Structured implant body site: Structured identification of the body site where the device has been inserted. Include: openEHR-EHR-CLUSTER.anatomical_ openEHR-EHR-CLUSTER.anatomical_ openEHR-EHR-CLUSTER.anatomical_ |
| Structured device detail | Structured device detail: Additional structured detail about the specific implanted device. Include: openEHR-EHR-CLUSTER.device.v1 and specialisations |
| Multimedia representation | Multimedia representation: Digital image, video or diagram related to the specific implanted device. Include: openEHR-EHR-CLUSTER.media_ |
| Removal date | Removal date: The Date/time when the device was removed. Partial dates are not permitted for contemporaneous recording. |
| Reason for removal | Reason for removal: Description about why the implanted device was removed. |
| Next review due | Next review due: Date on which this device should be reviewed. Partial dates are not permitted. |
| Comment | Comment: Additional narrative about the impanted medical device not captured in other fields. |
| Overall comment | Overall comment: Additional narrative about the implanted medical device type, not captured in other fields. |
| protocol | |
| Last updated | Last updated: The date this Implanted medical device summary was last updated. |
| Extension | Extension: Additional information required to capture local content or to align with other reference models/formalisms. For example: local information requirements or additional metadata to align with FHIR or CIMI equivalents. Include: All not explicitly excluded archetypes |
| Other contributors | |
| Translators |