openEHR-EHR-ACTION.procedure-sus.v1.adl
| archetype (adl_version=1.4) | |
| openEHR-EHR-ACTION.procedure-sus.v1 | |
| specialize | |
| openEHR-EHR-ACTION.procedure.v1 | |
| concept | |
| [at0000.1] -- *Procedure undertaken!(en) | |
| language | |
| original_language = <[ISO_639-1::en]> | |
| translations = < | |
| ["ar-sy"] = < | |
| language = <[ISO_639-1::ar-sy]> | |
| author = < | |
| ["name"] = <"Mona Saleh"> | |
| > | |
| > | |
| ["pt-br"] = < | |
| language = <[ISO_639-1::pt-br]> | |
| author = < | |
| ["organisation"] = <"FMRP-USP"> | |
| ["name"] = <"Thiago F. F. Dias"> | |
| > | |
| > | |
| > | |
| description | |
| original_author = < | |
| ["name"] = <"Ian McNicoll"> | |
| ["organisation"] = <"Ocean Informatics, United Kingdom"> | |
| ["email"] = <"ian.mcnicoll@oceaninformatics.com"> | |
| ["date"] = <"2009-12-03"> | |
| > | |
| details = < | |
| ["ar-sy"] = < | |
| language = <[ISO_639-1::ar-sy]> | |
| purpose = <"لتسجيل تفاصيل حول إجراء طبي تم بالفعل إجراؤه"> | |
| use = <"لتسجيل معلومات تفصيلية حول إجراء طبي تم تنفيذه على شخص ما. و ينبغي تسجيل المعلومات حول النشاطات المتعلقة بالنشاطات المتعلقة بالإجراء الطبي, مثل التخدير أو إعطاء الأدوية في نماذج (فعل) منفردة."> | |
| keywords = <"الإجراء الطبي", ...> | |
| misuse = <""> | |
| copyright = <"© openEHR Foundation"> | |
| > | |
| ["en"] = < | |
| language = <[ISO_639-1::en]> | |
| purpose = <"To record details about a procedure that has been performed."> | |
| use = <"Use to record detailed information about the procedure that has been carried out on an individual. | |
| Information about activities related to the procedure, such as anaesthesia or administration of medications, should be recorded in separate ACTION archetypes."> | |
| keywords = <"procedure", ...> | |
| misuse = <""> | |
| copyright = <"© openEHR Foundation"> | |
| > | |
| ["pt-br"] = < | |
| language = <[ISO_639-1::pt-br]> | |
| purpose = <"Para registrar os detalhes sobre um procedimento realizado."> | |
| use = <"Usado para registrar informações detalhadas sobre o procedimento realizado em um indivíduo. | |
| Informações sobre atividades relacionadas ao procedimento, como a anestesia ou a administração de medicamentos, devem ser registrados em arquétipos de ACTION separados."> | |
| keywords = <"procedimento", ...> | |
| misuse = <""> | |
| copyright = <"© openEHR Foundation"> | |
| > | |
| > | |
| lifecycle_state = <"AuthorDraft"> | |
| other_contributors = <"Heather Leslie, Ocean Informatics, Australia (Editor)", "Ian McNicoll, Ocean Informatics, United Kingdom (Editor)"> | |
| other_details = < | |
| ["MD5-CAM-1.0.1"] = <"666AFA78B81C132B729F2AF7328AA9A5"> | |
| > | |
| definition | |
| ACTION[at0000.1] matches { -- Procedimento realizado | |
| ism_transition matches { | |
| ISM_TRANSITION[at0034] matches { -- Pedido iniciado | |
| current_state matches { | |
| DV_CODED_TEXT matches { | |
| defining_code matches {[openehr::524]} | |
| } | |
| } | |
| careflow_step matches { | |
| DV_CODED_TEXT matches { | |
| defining_code matches {[local::at0034]} -- Pedido iniciado | |
| } | |
| } | |
| } | |
| ISM_TRANSITION[at0035] matches { -- Pedido enviado | |
| current_state matches { | |
| DV_CODED_TEXT matches { | |
| defining_code matches {[openehr::524]} | |
| } | |
| } | |
| careflow_step matches { | |
| DV_CODED_TEXT matches { | |
| defining_code matches {[local::at0035]} -- Pedido enviado | |
| } | |
| } | |
| } | |
| ISM_TRANSITION[at0038] matches { -- Pedido adiado | |
| current_state matches { | |
| DV_CODED_TEXT matches { | |
| defining_code matches {[openehr::527]} | |
| } | |
| } | |
| careflow_step matches { | |
| DV_CODED_TEXT matches { | |
| defining_code matches {[local::at0038]} -- Pedido adiado | |
| } | |
| } | |
| } | |
| ISM_TRANSITION[at0039] matches { -- Pedido cancelado | |
| current_state matches { | |
| DV_CODED_TEXT matches { | |
| defining_code matches {[openehr::528]} | |
| } | |
| } | |
| careflow_step matches { | |
| DV_CODED_TEXT matches { | |
| defining_code matches {[local::at0039]} -- Pedido cancelado | |
| } | |
| } | |
| } | |
| ISM_TRANSITION[at0036] matches { -- Procedimento agendado | |
| current_state matches { | |
| DV_CODED_TEXT matches { | |
| defining_code matches {[openehr::529]} | |
| } | |
| } | |
| careflow_step matches { | |
| DV_CODED_TEXT matches { | |
| defining_code matches {[local::at0036]} -- Procedimento agendado | |
| } | |
| } | |
| } | |
| ISM_TRANSITION[at0047] matches { -- Em progresso | |
| current_state matches { | |
| DV_CODED_TEXT matches { | |
| defining_code matches {[openehr::245]} | |
| } | |
| } | |
| careflow_step matches { | |
| DV_CODED_TEXT matches { | |
| defining_code matches {[local::at0047]} -- Em progresso | |
| } | |
| } | |
| } | |
| ISM_TRANSITION[at0040] matches { -- Procedimento suspenso | |
| current_state matches { | |
| DV_CODED_TEXT matches { | |
| defining_code matches {[openehr::530]} | |
| } | |
| } | |
| careflow_step matches { | |
| DV_CODED_TEXT matches { | |
| defining_code matches {[local::at0040]} -- Procedimento suspenso | |
| } | |
| } | |
| } | |
| ISM_TRANSITION[at0041] matches { -- Procedimento abortado | |
| current_state matches { | |
| DV_CODED_TEXT matches { | |
| defining_code matches {[openehr::531]} | |
| } | |
| } | |
| careflow_step matches { | |
| DV_CODED_TEXT matches { | |
| defining_code matches {[local::at0041]} -- Procedimento abortado | |
| } | |
| } | |
| } | |
| ISM_TRANSITION[at0043] matches { -- Concluido | |
| current_state matches { | |
| DV_CODED_TEXT matches { | |
| defining_code matches {[openehr::532]} | |
| } | |
| } | |
| careflow_step matches { | |
| DV_CODED_TEXT matches { | |
| defining_code matches {[local::at0043]} -- Concluido | |
| } | |
| } | |
| } | |
| ISM_TRANSITION[at0044] matches { -- Autoria do relatório | |
| current_state matches { | |
| DV_CODED_TEXT matches { | |
| defining_code matches {[openehr::532]} | |
| } | |
| } | |
| careflow_step matches { | |
| DV_CODED_TEXT matches { | |
| defining_code matches {[local::at0044]} -- Autoria do relatório | |
| } | |
| } | |
| } | |
| ISM_TRANSITION[at0045] matches { -- Relatório atestado | |
| current_state matches { | |
| DV_CODED_TEXT matches { | |
| defining_code matches {[openehr::532]} | |
| } | |
| } | |
| careflow_step matches { | |
| DV_CODED_TEXT matches { | |
| defining_code matches {[local::at0045]} -- Relatório atestado | |
| } | |
| } | |
| } | |
| ISM_TRANSITION[at0046] matches { -- Relatório enviado | |
| current_state matches { | |
| DV_CODED_TEXT matches { | |
| defining_code matches {[openehr::532]} | |
| } | |
| } | |
| careflow_step matches { | |
| DV_CODED_TEXT matches { | |
| defining_code matches {[local::at0046]} -- Relatório enviado | |
| } | |
| } | |
| } | |
| } | |
| description matches { | |
| ITEM_TREE[at0001] matches { -- Árvore | |
| items cardinality matches {1..*; unordered} matches { | |
| ELEMENT[at0002] matches { -- Procedimento | |
| value matches { | |
| -- DV_TEXT matches {*} | |
| DV_CODED_TEXT matches { | |
| defining_code matches {[ac0.2]} -- Nova restrição | |
| } | |
| } | |
| } | |
| ELEMENT[at0014] occurrences matches {0..*} matches { -- Razão(ões) para o procedimento | |
| value matches { | |
| DV_TEXT matches {*} | |
| } | |
| } | |
| ELEMENT[at0051] occurrences matches {0..*} matches { -- Método/Técnica | |
| value matches { | |
| DV_TEXT matches {*} | |
| } | |
| } | |
| ELEMENT[at0049] occurrences matches {0..1} matches { -- Descrição | |
| value matches { | |
| DV_TEXT matches {*} | |
| } | |
| } | |
| allow_archetype CLUSTER[at0003] occurrences matches {0..1} matches { -- Detalhes do procedimento | |
| include | |
| archetype_id/value matches {/.*/} | |
| } | |
| allow_archetype CLUSTER[at0050] occurrences matches {0..1} matches { -- Detalhes da região anatômica | |
| include | |
| archetype_id/value matches {/.*/} | |
| } | |
| CLUSTER[at0030] occurrences matches {0..1} matches { -- Tarefas adicionais | |
| items cardinality matches {1..*; unordered} matches { | |
| ELEMENT[at0052] occurrences matches {0..1} matches { -- Tarefa | |
| value matches { | |
| DV_TEXT matches {*} | |
| } | |
| } | |
| ELEMENT[at0031] occurrences matches {0..*} matches { -- Descrição da tarefa | |
| value matches { | |
| DV_TEXT matches {*} | |
| } | |
| } | |
| ELEMENT[at0032] occurrences matches {0..*} matches { -- Registro da tarefa adicional | |
| value matches { | |
| DV_EHR_URI matches {*} | |
| } | |
| } | |
| } | |
| } | |
| ELEMENT[at0048] occurrences matches {0..1} matches { -- Resultado | |
| value matches { | |
| DV_TEXT matches {*} | |
| } | |
| } | |
| ELEMENT[at0004] occurrences matches {0..1} matches { -- Procedimento mal sucedido | |
| value matches { | |
| DV_BOOLEAN matches { | |
| value matches {True} | |
| } | |
| } | |
| } | |
| ELEMENT[at0018] occurrences matches {0..1} matches {*} | |
| ELEMENT[at0015] occurrences matches {0..*} matches { -- Evento não planejado | |
| value matches { | |
| DV_TEXT matches {*} | |
| } | |
| } | |
| ELEMENT[at0006] occurrences matches {0..*} matches { -- Complicação | |
| value matches { | |
| DV_TEXT matches {*} | |
| } | |
| } | |
| ELEMENT[at0058] occurrences matches {0..1} matches { -- Emergência? | |
| value matches { | |
| DV_BOOLEAN matches { | |
| value matches {True, False} | |
| } | |
| } | |
| } | |
| ELEMENT[at0005] occurrences matches {0..1} matches { -- Comentários | |
| value matches { | |
| DV_TEXT matches {*} | |
| } | |
| } | |
| ELEMENT[at0013] occurrences matches {0..*} matches { -- Multimídia | |
| value matches { | |
| DV_MULTIMEDIA matches { | |
| media_type matches {[openEHR::]} | |
| } | |
| } | |
| } | |
| ELEMENT[at0.59] occurrences matches {0..3} matches { -- área irradiada | |
| value matches { | |
| DV_CODED_TEXT matches { | |
| defining_code matches {[ac0.1]} -- New constraint | |
| } | |
| } | |
| } | |
| ELEMENT[at0.60] occurrences matches {0..1} matches { -- número de campos planejados | |
| value matches { | |
| DV_COUNT matches {*} | |
| } | |
| } | |
| ELEMENT[at0.61] occurrences matches {0..3} matches { -- número de campos/inserções | |
| value matches { | |
| DV_COUNT matches {*} | |
| } | |
| } | |
| ELEMENT[at0.62] occurrences matches {0..1} matches { -- quantidade do procedimento | |
| value matches { | |
| DV_COUNT matches {*} | |
| } | |
| } | |
| ELEMENT[at0.63] occurrences matches {0..1} matches { -- acesso vascular | |
| value matches { | |
| DV_BOOLEAN matches { | |
| value matches {True, False} | |
| } | |
| } | |
| } | |
| } | |
| } | |
| } | |
| protocol matches { | |
| ITEM_TREE[at0053] matches { -- Árvore | |
| items cardinality matches {0..*; unordered} matches { | |
| ELEMENT[at0054] occurrences matches {0..1} matches { -- Identificador do solicitante do pedido | |
| value matches { | |
| DV_TEXT matches {*} | |
| } | |
| } | |
| allow_archetype CLUSTER[at0055] occurrences matches {0..1} matches { -- Solicitante | |
| include | |
| archetype_id/value matches {/.*/} | |
| } | |
| ELEMENT[at0056] occurrences matches {0..1} matches { -- Identificador do destinatário do pedido | |
| value matches { | |
| DV_TEXT matches {*} | |
| } | |
| } | |
| allow_archetype CLUSTER[at0057] occurrences matches {0..1} matches { -- Destinatário | |
| include | |
| archetype_id/value matches {/.*/} | |
| } | |
| } | |
| } | |
| } | |
| } | |
| ontology | |
| term_definitions = < | |
| ["ar-sy"] = < | |
| items = < | |
| ["at0.59"] = < | |
| text = <"irradiated area"> | |
| description = <"irradiated area"> | |
| > | |
| ["at0.60"] = < | |
| text = <"planned fields"> | |
| description = <"number of planned fields"> | |
| > | |
| ["at0.61"] = < | |
| text = <"fields/insertions"> | |
| description = <"number of fields/insertions"> | |
| > | |
| ["at0.62"] = < | |
| text = <"procedure quantity"> | |
| description = <"procedure quantity"> | |
| > | |
| ["at0.63"] = < | |
| text = <"vascular access"> | |
| description = <"vascular access"> | |
| > | |
| ["at0000"] = < | |
| text = <"الإجراء الطبي الذي تم فعله"> | |
| description = <"نشاط سريري تم تنفيذه لأغراض تشخيصية أو علاجية."> | |
| > | |
| ["at0000.1"] = < | |
| text = <"Procedure undertaken"> | |
| description = <"*A clinical activity that has been carried out for therapeutic or diagnostic purposes.!(en)"> | |
| > | |
| ["at0001"] = < | |
| text = <"Tree"> | |
| description = <"@ internal @"> | |
| > | |
| ["at0002"] = < | |
| text = <"الإجراء الطبي"> | |
| description = <"اسم الإجراء الطبي"> | |
| > | |
| ["at0003"] = < | |
| text = <"تفاصيل الإجراء الطبي"> | |
| description = <"مركب تفصيلي يصف الإجراء الطبي الذي تم تنفيذه, بما في ذلك التحضير و تفاصيل حول الطريقة و المعدات/الأجهزة التي تم استخدامها"> | |
| > | |
| ["at0004"] = < | |
| text = <"لم ينجح الإجراء الطبي"> | |
| description = <"هل كان الإجراء الطبي في المجمل غير ناجحا - الإجابة بكلمة صحيح تعني أنه لم يكن ناجحا"> | |
| > | |
| ["at0005"] = < | |
| text = <"تعليق"> | |
| description = <"تعليقات حول الإجراء الطبي"> | |
| > | |
| ["at0006"] = < | |
| text = <"المضاعفات"> | |
| description = <"تفاصيل حول أية مضاعفات تنتج عن تنفيذ الإجراء الطبي"> | |
| > | |
| ["at0013"] = < | |
| text = <"الوسائط المتعددة"> | |
| description = <"تمثيل الوسائط المتعددة للإجراء الطبي, بما في ذلك الصور"> | |
| > | |
| ["at0014"] = < | |
| text = <"سبب/أسباب الإجراء الطبي"> | |
| description = <"السبب أو الداعي إلى تنفيذ الإجراء الطبي"> | |
| > | |
| ["at0015"] = < | |
| text = <"واقعة غير مخطط لها"> | |
| description = <"واقعة غير مخطط لها تسبق أو تتعلق بالإجراء الطبي, و التي قد تؤثر على تنفيذه, مثلا إذا قامالمريض بإزالة القُنَيَّة بنفسه."> | |
| > | |
| ["at0018"] = < | |
| text = <"المحاولات الفاشلة"> | |
| description = <"عدد المحاولات الفاشلة لتنفيذ الإجراء الطبي"> | |
| > | |
| ["at0030"] = < | |
| text = <"الوظائف/المهمات الإضافية"> | |
| description = <"لتسجيل المعلومات حول الأنشطة غير المخطط لها أو غير المتوقعة التي تم الاحتياج إلى فعلها في أثناء الإجراء الطبي. يتم تسجيل اسم المهمة/الوظيفة و وصفها في ذاخل هذا النموذج, و لكن ينبغي تسجيل التفاصيل في نماذج مخصصة مرتبطة بهذا النموذج من نوع نماذج التعليمات أو الفعل."> | |
| > | |
| ["at0031"] = < | |
| text = <"وصف المهمة/الوظيفة"> | |
| description = <"وصف الوظيفة/المهمة الإضافية التي تم إجراؤها في أثناء تنفيذ الإجراء الطبي"> | |
| > | |
| ["at0032"] = < | |
| text = <"تسجيل المهمة/الوظيفة الإضافية"> | |
| description = <"رابط يؤدي إلى سجل تفصيلي حول المهمة/الوظيفة الإضافية"> | |
| > | |
| ["at0034"] = < | |
| text = <"تم البدء في الطلب"> | |
| description = <"تم البدء في طلب الإجراء الطبي"> | |
| > | |
| ["at0035"] = < | |
| text = <"تم إرسال الطلب"> | |
| description = <"تم إرسال طلب الإجراء الطبي"> | |
| > | |
| ["at0036"] = < | |
| text = <"تم تحديد موعد الإجراء الطبي"> | |
| description = <"تم تحديد موعد تنفيذ الإجراء الطبي"> | |
| > | |
| ["at0038"] = < | |
| text = <"تم تأجيل الطلب"> | |
| description = <"تم تأجيل طلب الإجراء الطبي"> | |
| > | |
| ["at0039"] = < | |
| text = <"تم إلغاء الطلب"> | |
| description = <"تم إلغاء طلب الإجراء الطبي"> | |
| > | |
| ["at0040"] = < | |
| text = <"تم تعليق الإجراء الطبي"> | |
| description = <"تم تعليق الإجراء الطبي"> | |
| > | |
| ["at0041"] = < | |
| text = <"تم إنهاء الإجراء الطبي فجأة"> | |
| description = <"تم إنهاء الإجراء الطبي فجأة"> | |
| > | |
| ["at0043"] = < | |
| text = <"اكتمل"> | |
| description = <"تم إكمال الإجراء الطبي"> | |
| > | |
| ["at0044"] = < | |
| text = <"تمت كتابة التقرير"> | |
| description = <"تم كتابة تقرير الإجراء الطبي"> | |
| > | |
| ["at0045"] = < | |
| text = <"تم التصديق على/توثيق التقرير"> | |
| description = <"تم التصديق على/توثيق تقرير الإجراء الطبي"> | |
| > | |
| ["at0046"] = < | |
| text = <"تم إرسال التقرير"> | |
| description = <"تم توزيع تقرير الإجراء الطبي"> | |
| > | |
| ["at0047"] = < | |
| text = <"دائر - يحدث حاليا"> | |
| description = <"يتم حاليا تنفيذ الإجراء الطبي"> | |
| > | |
| ["at0048"] = < | |
| text = <"الناتج"> | |
| description = <"ناتج الإجراء الطبي الذي تم تنفيذه"> | |
| > | |
| ["at0049"] = < | |
| text = <"الوصف"> | |
| description = <"وصف برواية حول الإجراء الطبي الذي تم تنفيذه"> | |
| > | |
| ["at0050"] = < | |
| text = <"تفاصيل المكان التشريحي"> | |
| description = <"تفاصيل حول المكان التشريحي المتعلق بالإجراء الطبي"> | |
| > | |
| ["at0051"] = < | |
| text = <"الطريقة/التقنية"> | |
| description = <"تعريف للطريقة أو التقنية المحددة المستخدمة في تنفيذ الإجراء الطبي"> | |
| > | |
| ["at0052"] = < | |
| text = <"المهمة/الوظيفة"> | |
| description = <"اسم الوظائف/المهام الإضافية التي يتم إجراؤها في أثناء تنفيذ الإجراء الطبي"> | |
| > | |
| ["at0053"] = < | |
| text = <"Tree"> | |
| description = <"@ internal @"> | |
| > | |
| ["at0054"] = < | |
| text = <"عنصر معرِّف فريد بواسطة طالب الاختبار"> | |
| description = <"العنصر التعريفي الفريد المحلي الذي يتم إعطاؤه للأمر بالاختبار بواسطة مقدم الخدمة الصحية أو المؤسسة التي تطلب الخدمة."> | |
| > | |
| ["at0055"] = < | |
| text = <"الطالب"> | |
| description = <"تفاصيل حول مقدم الخدمة الصحية أو المؤسسة التي تطلب الخدمة"> | |
| > | |
| ["at0056"] = < | |
| text = <"عنصر معرِّف فريد بواسطة مستقبِل الطلب"> | |
| description = <"العنصر التعريفي الذي يتم إعطاؤه للأمر بالاختبار بواسطة مقدم الخدمة الصحية أو المؤسسة التي تستقبل طلب الخدمة. و يُعرَف أيضا بالعنصر معرِّف فريد بواسطة منفذ الاختبار"> | |
| > | |
| ["at0057"] = < | |
| text = <"المستقبِل"> | |
| description = <"تفاصيل حول مقدم الخدمة الصحية أو المؤسسة التي تستقبل طلب الخدمة."> | |
| > | |
| ["at0058"] = < | |
| text = <"حالة طارئة"> | |
| description = <"هل كان الإجراء الذي تم تنفيذه حالة طارئة - الإجابة بصحيح تعني أنه كان بالفعل بسبب حالة طارئة"> | |
| > | |
| > | |
| > | |
| ["en"] = < | |
| items = < | |
| ["at0.59"] = < | |
| text = <"irradiated area"> | |
| description = <"irradiated area"> | |
| > | |
| ["at0.60"] = < | |
| text = <"planned fields"> | |
| description = <"number of planned fields"> | |
| > | |
| ["at0.61"] = < | |
| text = <"fields/insertions"> | |
| description = <"number of fields/insertions"> | |
| > | |
| ["at0.62"] = < | |
| text = <"procedure quantity"> | |
| description = <"procedure quantity"> | |
| > | |
| ["at0.63"] = < | |
| text = <"vascular access"> | |
| description = <"vascular access"> | |
| > | |
| ["at0000"] = < | |
| text = <"Procedure undertaken"> | |
| description = <"A clinical activity that has been carried out for therapeutic or diagnostic purposes."> | |
| > | |
| ["at0000.1"] = < | |
| text = <"Procedure undertaken"> | |
| description = <"A clinical activity that has been carried out for therapeutic or diagnostic purposes.!"> | |
| > | |
| ["at0001"] = < | |
| text = <"Procedure list"> | |
| description = <"List containing the procedures undertaken"> | |
| > | |
| ["at0002"] = < | |
| text = <"Procedure"> | |
| description = <"The name of the procedure."> | |
| > | |
| ["at0003"] = < | |
| text = <"Procedure details"> | |
| description = <"Detailed structure describing the procedure carried out, including preparation and details about the method and equipment/devices used."> | |
| > | |
| ["at0004"] = < | |
| text = <"Procedure unsuccessful"> | |
| description = <"Was the procedure ultimately unsuccessful? True if unsuccessful."> | |
| > | |
| ["at0005"] = < | |
| text = <"Comments"> | |
| description = <"Comments about the procedure."> | |
| > | |
| ["at0006"] = < | |
| text = <"Complication"> | |
| description = <"Details about any complication arising from the procedure."> | |
| > | |
| ["at0013"] = < | |
| text = <"Multimedia"> | |
| description = <"Multimedia representation of the procedure, including images."> | |
| > | |
| ["at0014"] = < | |
| text = <"Reason/s for procedure"> | |
| description = <"The reason or indication for the procedure."> | |
| > | |
| ["at0015"] = < | |
| text = <"Unplanned event"> | |
| description = <"An unplanned event prior to or related to the procedure, which may affect its execution e.g patient self-removed cannula."> | |
| > | |
| ["at0018"] = < | |
| text = <"Failed attempts"> | |
| description = <"The number of failed attempts to perform the procedure."> | |
| > | |
| ["at0030"] = < | |
| text = <"Additional tasks"> | |
| description = <"Record information about unplanned or unexpected activities that needed to be done during the procedure. Record the name of the task and a description within this archetype, but detail should be recorded in specific linked INSTRUCTION or ACTION archetypes."> | |
| > | |
| ["at0031"] = < | |
| text = <"Task description"> | |
| description = <"Description of additional task performed during the procedure."> | |
| > | |
| ["at0032"] = < | |
| text = <"Record of additional task"> | |
| description = <"Link to a detailed record of the additional task."> | |
| > | |
| ["at0034"] = < | |
| text = <"Request initiated"> | |
| description = <"Request for procedure is initiated."> | |
| > | |
| ["at0035"] = < | |
| text = <"Request sent"> | |
| description = <"Request for procedure sent."> | |
| > | |
| ["at0036"] = < | |
| text = <"Procedure scheduled"> | |
| description = <"Procedure has been scheduled."> | |
| > | |
| ["at0038"] = < | |
| text = <"Request postponed"> | |
| description = <"Request for procedure is postponed."> | |
| > | |
| ["at0039"] = < | |
| text = <"Request cancelled"> | |
| description = <"Procedure request has been cancelled."> | |
| > | |
| ["at0040"] = < | |
| text = <"Procedure suspended"> | |
| description = <"Procedure has been suspended."> | |
| > | |
| ["at0041"] = < | |
| text = <"Procedure aborted"> | |
| description = <"Procedure has been aborted."> | |
| > | |
| ["at0043"] = < | |
| text = <"Completed"> | |
| description = <"Procedure has been completed."> | |
| > | |
| ["at0044"] = < | |
| text = <"Report authored"> | |
| description = <"Procedure report has been written."> | |
| > | |
| ["at0045"] = < | |
| text = <"Report attested"> | |
| description = <"Procedure report has been attested."> | |
| > | |
| ["at0046"] = < | |
| text = <"Report sent"> | |
| description = <"Procedure report has been distributed."> | |
| > | |
| ["at0047"] = < | |
| text = <"In progress"> | |
| description = <"Procedure is being carried out."> | |
| > | |
| ["at0048"] = < | |
| text = <"Outcome"> | |
| description = <"Outcome of procedure performed."> | |
| > | |
| ["at0049"] = < | |
| text = <"Description"> | |
| description = <"Narrative description about the procedure carried out."> | |
| > | |
| ["at0050"] = < | |
| text = <"Anatomical site details"> | |
| description = <"Details about the anatomical site of procedure."> | |
| > | |
| ["at0051"] = < | |
| text = <"Method/Technique"> | |
| description = <"Identification of specific method or technique used for procedure."> | |
| > | |
| ["at0052"] = < | |
| text = <"Task"> | |
| description = <"Name of additional task performed during the procedure."> | |
| > | |
| ["at0053"] = < | |
| text = <"Tree"> | |
| description = <"@ internal @"> | |
| > | |
| ["at0054"] = < | |
| text = <"Requestor order identifier"> | |
| description = <"The local ID assigned to the order by the healthcare provider or organisation requesting the service."> | |
| > | |
| ["at0055"] = < | |
| text = <"Requestor"> | |
| description = <"Details about the healthcare provider or organisation requesting the service."> | |
| > | |
| ["at0056"] = < | |
| text = <"Receiver order identifier"> | |
| description = <"The ID assigned to the order by the healthcare provider or organisation receiving the request for service. This is also referred to as Filler Order Identifier."> | |
| > | |
| ["at0057"] = < | |
| text = <"Receiver"> | |
| description = <"Details about the healthcare provider or organisation receiving the request for service."> | |
| > | |
| ["at0058"] = < | |
| text = <"Emergency?"> | |
| description = <"Was this procedure performed as an emergency? True if Yes."> | |
| > | |
| > | |
| > | |
| ["pt-br"] = < | |
| items = < | |
| ["at0.59"] = < | |
| text = <"área irradiada"> | |
| description = <"*"> | |
| > | |
| ["at0.60"] = < | |
| text = <"número de campos planejados"> | |
| description = <"*"> | |
| > | |
| ["at0.61"] = < | |
| text = <"número de campos/inserções"> | |
| description = <"*"> | |
| > | |
| ["at0.62"] = < | |
| text = <"quantidade do procedimento"> | |
| description = <"*"> | |
| > | |
| ["at0.63"] = < | |
| text = <"acesso vascular"> | |
| description = <"*"> | |
| > | |
| ["at0000"] = < | |
| text = <"Procedimento realizado"> | |
| description = <"Atividade clínica que foi realizada para fins terapêuticos ou diagnósticos."> | |
| > | |
| ["at0000.1"] = < | |
| text = <"Procedimento realizado"> | |
| description = <"Uma atividade clínica que foi realizada para fins de tratamento ou diagnóstico."> | |
| > | |
| ["at0001"] = < | |
| text = <"Árvore"> | |
| description = <"@ internal @"> | |
| > | |
| ["at0002"] = < | |
| text = <"Procedimento"> | |
| description = <"Nome do procedimento."> | |
| > | |
| ["at0003"] = < | |
| text = <"Detalhes do procedimento"> | |
| description = <"Estrutura detalhada descrevendo o procedimento realizado, incluindo a preparação e detalhes sobre os equipamentos/dispositivos utilizados."> | |
| > | |
| ["at0004"] = < | |
| text = <"Procedimento mal sucedido"> | |
| description = <"O procedimento foi realmente mal sucedido? Verdadeiro se foi mal sucedido."> | |
| > | |
| ["at0005"] = < | |
| text = <"Comentários"> | |
| description = <"Comentários sobre o procedimento."> | |
| > | |
| ["at0006"] = < | |
| text = <"Complicação"> | |
| description = <"Detalhes sobre qualquer complicação provinda do pocedimento."> | |
| > | |
| ["at0013"] = < | |
| text = <"Multimídia"> | |
| description = <"Representação multimídia do procedimento, incluindo imagens."> | |
| > | |
| ["at0014"] = < | |
| text = <"Razão(ões) para o procedimento"> | |
| description = <"A razão ou indicação para o procedimento."> | |
| > | |
| ["at0015"] = < | |
| text = <"Evento não planejado"> | |
| description = <"Um evento não planejado prioritário ou relacionado ao procedimento, o qual pode afetar a sua execução, ex. o próprio paciente removeu a cânula."> | |
| > | |
| ["at0018"] = < | |
| text = <"Tentativas fracassadas"> | |
| description = <"Número de tentativas fracassadas para realizar o procedimento."> | |
| > | |
| ["at0030"] = < | |
| text = <"Tarefas adicionais"> | |
| description = <"Registro das informações sobre atividades não planejadas ou não esperadas realizadas, que foram necessárias durante o procedimento. Registro do nome da tarefa e a descrição neste arquétipo, mas os detalhes devem ser registrados em um arquétipo específico de INSTRUCTION ou ACTION, ligado a este."> | |
| > | |
| ["at0031"] = < | |
| text = <"Descrição da tarefa"> | |
| description = <"Descrição da tarefa realizada durante o procedimento."> | |
| > | |
| ["at0032"] = < | |
| text = <"Registro da tarefa adicional"> | |
| description = <"Link para o registro detalhado da tarefa adicional."> | |
| > | |
| ["at0034"] = < | |
| text = <"Pedido iniciado"> | |
| description = <"Pedido para o procedimento é iniciado."> | |
| > | |
| ["at0035"] = < | |
| text = <"Pedido enviado"> | |
| description = <"Pedido para o procedimento enviado."> | |
| > | |
| ["at0036"] = < | |
| text = <"Procedimento agendado"> | |
| description = <"Procedimento foi agendado."> | |
| > | |
| ["at0038"] = < | |
| text = <"Pedido adiado"> | |
| description = <"Pedido para o procedimento é adiado."> | |
| > | |
| ["at0039"] = < | |
| text = <"Pedido cancelado"> | |
| description = <"Pedido para o procedimento foi cancelado."> | |
| > | |
| ["at0040"] = < | |
| text = <"Procedimento suspenso"> | |
| description = <"Procedimento foi suspenso."> | |
| > | |
| ["at0041"] = < | |
| text = <"Procedimento abortado"> | |
| description = <"Procedimento foi abortado."> | |
| > | |
| ["at0043"] = < | |
| text = <"Concluido"> | |
| description = <"Procedimento foi concluído."> | |
| > | |
| ["at0044"] = < | |
| text = <"Autoria do relatório"> | |
| description = <"Relatório do procedimento foi escrito."> | |
| > | |
| ["at0045"] = < | |
| text = <"Relatório atestado"> | |
| description = <"Relatório do procedimento foi atestado."> | |
| > | |
| ["at0046"] = < | |
| text = <"Relatório enviado"> | |
| description = <"Relatório do procedimento foi distribuído."> | |
| > | |
| ["at0047"] = < | |
| text = <"Em progresso"> | |
| description = <"Procedimento está sendo realizado."> | |
| > | |
| ["at0048"] = < | |
| text = <"Resultado"> | |
| description = <"Resultado do procedimento realizado."> | |
| > | |
| ["at0049"] = < | |
| text = <"Descrição"> | |
| description = <"Narração descritiva sobre o procedimento realizado."> | |
| > | |
| ["at0050"] = < | |
| text = <"Detalhes da região anatômica"> | |
| description = <"Detalhes sobre a região anatômica do procedimento."> | |
| > | |
| ["at0051"] = < | |
| text = <"Método/Técnica"> | |
| description = <"Identificação do método ou técnica específica utilizada no procedimento."> | |
| > | |
| ["at0052"] = < | |
| text = <"Tarefa"> | |
| description = <"Nome da tarefa adicional realizada durante o procedimento."> | |
| > | |
| ["at0053"] = < | |
| text = <"Árvore"> | |
| description = <"@ internal @"> | |
| > | |
| ["at0054"] = < | |
| text = <"Identificador do solicitante do pedido"> | |
| description = <"ID local atribuído ao pedido pela profissional ou organização de saúde solicitante do serviço."> | |
| > | |
| ["at0055"] = < | |
| text = <"Solicitante"> | |
| description = <"Detalhes sobre o profissional ou organização de saúde que solicitou o serviço."> | |
| > | |
| ["at0056"] = < | |
| text = <"Identificador do destinatário do pedido"> | |
| description = <"O ID atribuído ao pedido pelo profissional ou organização de saúde que está recebendo a requisição do serviço. Isto também é referenciado como o Identificador de Preenchimento do Pedido."> | |
| > | |
| ["at0057"] = < | |
| text = <"Destinatário"> | |
| description = <"Detalhes sobre o profissional ou organização de saúde que recebeu o requerimento para o serviço."> | |
| > | |
| ["at0058"] = < | |
| text = <"Emergência?"> | |
| description = <"Este procedimento foi realizado como urgência? Verdadeiro se Sim."> | |
| > | |
| > | |
| > | |
| > | |
| constraint_definitions = < | |
| ["ar-sy"] = < | |
| items = < | |
| ["ac0.1"] = < | |
| text = <"icd code for irradiated area"> | |
| description = <"icd code for irradiated area"> | |
| > | |
| > | |
| > | |
| ["en"] = < | |
| items = < | |
| ["ac0.1"] = < | |
| text = <"icd code for irradiated area"> | |
| description = <"icd code for irradiated area"> | |
| > | |
| ["ac0.2"] = < | |
| text = <"Brazilian National Healthcare System code for procedure"> | |
| description = <"Brazilian National Healthcare System code for procedure"> | |
| > | |
| > | |
| > | |
| ["pt-br"] = < | |
| items = < | |
| ["ac0.1"] = < | |
| text = <"código da área irradiada"> | |
| description = <"código da área irradiada"> | |
| > | |
| ["ac0.2"] = < | |
| text = <"Brazilian National Healthcare System code for procedure"> | |
| description = <"Brazilian National Healthcare System code for procedure"> | |
| > | |
| > | |
| > | |
| > |
Sign up for free
to join this conversation on GitHub.
Already have an account?
Sign in to comment