ARCHETYPE Whole transfusion management (openEHR-EHR-ACTION.whole_transfusion_management.v0)

ARCHETYPE IDopenEHR-EHR-ACTION.whole_transfusion_management.v0
ConceptWhole transfusion management
DescriptionProcedure to transfer blood or its components from a donor to a recipient to replenish depleted blood elements.
UseThis archetype is used to record all or part of a blood transfusion procedure. It represents the global capture of information about the transfusion process, i.e., the set or summary of all actions related to the administration of blood products during a clinical episode. It is not an EVALUATION archetype, as it does not represent a clinical assessment, but rather reflects the care process as it actually occurred, fulfilling legal and clinical requirements to document the execution of a prescribed transfusion. Each administered blood product unit should be recorded using separate instances of the ACTION.unit_transfusion_management.v0 archetype, to ensure full traceability of each transfused product. This allows detailed and structured information to be captured for each unit (e.g., bag identifier, product type, transfusion start and end time, adverse reactions, etc.). This archetype should be used to describe the transfusion procedure in an aggregated or global manner. It is especially useful when the overall process needs to be documented for legal, clinical traceability or reporting purposes. It is recommended to use it in combination with: ACTION.unit_transfusion_management.v0, to document each transfused unit. CLUSTER.transfusion_details (or similar), inserted in the "Additional details" slot, when more structured information is needed. Date and time records related to the transfusion process can be managed in two ways: Using the reference model: the time attribute of any ACTION instance indicates when the current state of the action was recorded (e.g., scheduled, started, completed). Using archetyped data elements: The “Scheduled date/time” element is intended to record the precise time at which the transfusion is planned to occur. The end time of the overall transfusion process should match the end time of the last unit administered. In cases where the transfusion of more than one type of blood product is prescribed (e.g., red blood cells and platelets), it is recommended to record a separate instance of ACTION.unit_transfusion_management for each product, as they are usually transfused separately and not simultaneously. This main ACTION.transfusion archetype summarizes the complete transfusion process, in alignment with clinical practice, and can be complemented by individual transfusion actions to ensure comprehensive and traceable documentation of each component of the procedure.
MisuseThis archetype must not be used to record the instruction for a transfusion. Use the INSTRUCTION.service_request.v1 archetype for that purpose. It must not be used to record other types of transfusions (e.g., bone marrow transfusions [transplants], stem cell transfusions, immunoglobulin therapy, platelet-rich plasma [PRP] injections, or coagulation factor concentrates). It must also not be used to record the intravenous administration of blood-derived products when the therapeutic intent is different from that of a transfusion in the strict sense —that is, the replacement of lost blood or blood components (such as in cases of hemorrhage) or the treatment of hematopoietic deficiencies. In cases such as immunoglobulin therapy, platelet-rich plasma (PRP), or other products used as medications, these products should be considered medicinal products and the appropriate medication administration archetype should be used instead.
PurposeTo record detailed information about a blood transfusion procedure globally, including data on all units of blood products administered during the transfusion episode.
Referenceshttps://www.sciencedirect.com/science/article/pii/S2211419X13000724#:~:text=The%20bone%20marrow%20consists%20of,administered%20through%20the%20IO%20route
Copyright© Departament de Salut de la Generalitat de Catalunya, openEHR Foundation
AuthorsAuthor name: Ana Pascual Segura
Organisation: Modelatge del Coneixement Clínic Catsalut
Email: anapascual@catsalut.cat
Date originally authored: 2025-03-24
Other Details LanguageAuthor name: Ana Pascual Segura
Organisation: Modelatge del Coneixement Clínic Catsalut
Email: anapascual@catsalut.cat
Date originally authored: 2025-03-24
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=https://www.sciencedirect.com/science/article/pii/S2211419X13000724#:~:text=The%20bone%20marrow%20consists%20of,administered%20through%20the%20IO%20route, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=A23FB32ED0C27B4BCE18584DD516FDF4, build_uid=5d33a217-0189-4aad-9563-f5f3f3c7ead9, revision=0.0.1-alpha}
Keywordstransfusion, blood, plasma, blood products, platelets
Lifecyclein_development
UIDbacbf674-c06e-4e69-be97-3af78b108010
Language useden
Citeable Identifier1013.1.8145
Revision Number0.0.1-alpha
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Procedure to transfer blood or its components from a donor to a recipient to replenish depleted blood elements., archetypeConceptComment=null, otherContributors=Laura Moral López, Modelatge del Coneixement Clínic Catsalut, Spain, originalLanguage=en, translators=
  • Catalan: Ana Pascual Segura, Laura Moral López, Modelatge del Coneixement Clínic Catsalut, anapascual@catsalut.cat, lauramoral@catsalut.cat
  • Spanish (Spain): Ana Pascual Segura, Laura Moral López, Modelatge del Coneixement Clínic Catsalut, anapascual@catsalut.cat, lauramoral@catsalut.cat
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