. _:AX5fXX3aXX40XX5fXX3aXA2814 . . _:AX5fXX3aXX40XX5fXX3aXA2821 . _:AX5fXX3aXX40XX5fXX3aXA2821 . . . _:AX5fXX3aXX40XX5fXX3aXA2804 . _:AX5fXX3aXX40XX5fXX3aXA2804 . _:AX5fXX3aXX40XX5fXX3aXA2784 . _:AX5fXX3aXX40XX5fXX3aXA2784 "1"^^ . _:AX5fXX3aXX40XX5fXX3aXA2784 . _:AX5fXX3aXX40XX5fXX3aXA2813 . _:AX5fXX3aXX40XX5fXX3aXA2813 . _:AX5fXX3aXX40XX5fXX3aXA2813 . _:AX5fXX3aXX40XX5fXX3aXA2793 . _:AX5fXX3aXX40XX5fXX3aXA2793 . _:AX5fXX3aXX40XX5fXX3aXA2793 . _:AX5fXX3aXX40XX5fXX3aXA2822 . _:AX5fXX3aXX40XX5fXX3aXA2822 _:AX5fXX3aXX40XX5fXX3aXA2823 . . . _:AX5fXX3aXX40XX5fXX3aXA2776 . _:AX5fXX3aXX40XX5fXX3aXA2776 "1"^^ . _:AX5fXX3aXX40XX5fXX3aXA2776 . . . "time created"@en . "instante de creacion"@es . . "time of creation of the repository"^^ . . . _:AX5fXX3aXX40XX5fXX3aXA2785 "1"^^ . _:AX5fXX3aXX40XX5fXX3aXA2785 . _:AX5fXX3aXX40XX5fXX3aXA2785 . _:AX5fXX3aXX40XX5fXX3aXA2805 . _:AX5fXX3aXX40XX5fXX3aXA2805 "1"^^ . _:AX5fXX3aXX40XX5fXX3aXA2805 . . "Parties involved in the clinical session. These would normally include the physician and often the patient (but not the latter if the clincal session is a pathology test for example)"^^ . "participations"@en . "participantes"@es . . . _:AX5fXX3aXX40XX5fXX3aXA2784 . "Composition class"^^ . "One version in a VERSIONED_TRANSACTION. A transaction is \nconsidered the unit of modification of the record, the unit of \ntransmission in record extracts, and the unit of attestation by \nauthorising clinicians. In this latter sense, it may be considered \nequivalent to a signed document."^^ . _:AX5fXX3aXX40XX5fXX3aXA2783 . . "Composition"^^ . "TRANSACCION"@es . "TRANSACTION"@en . . "CDA DOCUMENT"^^ . _:AX5fXX3aXX40XX5fXX3aXA2782 . "G1_TRANSACTION_VERSION"^^ . _:AX5fXX3aXX40XX5fXX3aXA2785 . _:AX5fXX3aXX40XX5fXX3aXA2814 . _:AX5fXX3aXX40XX5fXX3aXA2814 . _:AX5fXX3aXX40XX5fXX3aXA2814 . _:AX5fXX3aXX40XX5fXX3aXA2794 . _:AX5fXX3aXX40XX5fXX3aXA2794 . _:AX5fXX3aXX40XX5fXX3aXA2794 . "TRANSACCION VERSIONADA"@es . "VERSIONED TRANSACTION"@en . "G1_VERSIONED_TRANSACTION"^^ . _:AX5fXX3aXX40XX5fXX3aXA2811 . . . "Version-controlled transaction abstraction, defined\nby inheriting VERSION_REPOSITORY_TRANSACTION"^^ . . "Cluster"^^ . "Should not be used for actionable statements such as medication \norders these are represented with the INSTRUCTION type"^^ . "Observation"^^ . "G1_SUBJECTIVE_CONTENT"^^ . "Used for all kinds of statements which evaluate other information, \nsuch as interpretations of observations, diagnoses, differential \ndiagnoses, hypotheses, problem assessments and plans"^^ . "EVALUATION"@en . _:AX5fXX3aXX40XX5fXX3aXA2813 . "EVALUACION"@es . _:AX5fXX3aXX40XX5fXX3aXA2812 . . "Entry type for evaluation statements"^^ . _:AX5fXX3aXX40XX5fXX3aXA2808 . "CLINICAL CONTEXT"@en . "Documents the clinical context of the clinical session (or encounter).\nThe context information recorded here are independent of the \nattributes recorded in the version audit, which document the \n\"system interaction\" context, i.e. the context of a user interacting with \nthe health record system. Clinical sessions include patient contacts, \nand any other business activity, such aas pathology investigations \nwhich take place on behalf of the patient"^^ . . _:AX5fXX3aXX40XX5fXX3aXA2809 . _:AX5fXX3aXX40XX5fXX3aXA2810 . "Composition"^^ . _:AX5fXX3aXX40XX5fXX3aXA2805 . _:AX5fXX3aXX40XX5fXX3aXA2807 . _:AX5fXX3aXX40XX5fXX3aXA2806 . "CONTEXTO CLINICO"@es . "TBD"^^ . _:AX5fXX3aXX40XX5fXX3aXA2823 _:AX5fXX3aXX40XX5fXX3aXA2824 . _:AX5fXX3aXX40XX5fXX3aXA2823 . . "The clinical session context of this\ntransaction, i.e. the contextual attributes \nof the clinical session"^^ . . "context"@en . "contexto"@es . . . . "Sub-folders of this FOLDER"^^ . . . _:AX5fXX3aXX40XX5fXX3aXA2777 . _:AX5fXX3aXX40XX5fXX3aXA2777 "1"^^ . _:AX5fXX3aXX40XX5fXX3aXA2777 . "FOLDER"@en . "CARPETA"@es . "RecordFolder"^^ . . . _:AX5fXX3aXX40XX5fXX3aXA2816 . _:AX5fXX3aXX40XX5fXX3aXA2815 . "FOLDER"^^ . "The concept of a named folder"^^ . "Other participations at ENTRY level-archetypable"^^ . . . "other participations"@en . "otras participaciones"@es . . _:AX5fXX3aXX40XX5fXX3aXA2806 . _:AX5fXX3aXX40XX5fXX3aXA2806 . _:AX5fXX3aXX40XX5fXX3aXA2806 "1"^^ . _:AX5fXX3aXX40XX5fXX3aXA2786 . _:AX5fXX3aXX40XX5fXX3aXA2786 "1"^^ . _:AX5fXX3aXX40XX5fXX3aXA2786 . _:AX5fXX3aXX40XX5fXX3aXA2815 "1"^^ . _:AX5fXX3aXX40XX5fXX3aXA2815 . _:AX5fXX3aXX40XX5fXX3aXA2815 . "Optional act identifier used by e.g. a\nworkflow system for an act to\nwhich this ENTRY correspondes in\nsome way. This identifier might\nhave internal syntax and meaning to an external\nprocessor."^^ . . . "act id"@en . "id del acto"@es . . _:AX5fXX3aXX40XX5fXX3aXA2795 . _:AX5fXX3aXX40XX5fXX3aXA2795 . _:AX5fXX3aXX40XX5fXX3aXA2795 "1"^^ . . "Description of how and/or why th\ninformation in this entry was arrived\nat. For OBSERVATIONS, this is a description\nof the method or instrument used.\nFor EVALUATIONS, how the evaluation\nwas arrived at. For INSTRUCTIONS, how\nto execute the instruction. This may\ntake the form of references to guidelines,\nincluding manually folowed and executable;\nknoledge references such as paper in Medline;\nclinical reasons within a largercare process"^^ . . "protocol"@en . "protocolo"@es . . _:AX5fXX3aXX40XX5fXX3aXA2824 . _:AX5fXX3aXX40XX5fXX3aXA2824 . _:AX5fXX3aXX40XX5fXX3aXA2778 . _:AX5fXX3aXX40XX5fXX3aXA2778 "1"^^ . _:AX5fXX3aXX40XX5fXX3aXA2778 . "sujeto"@es . "subject"@en . _:AX5fXX3aXX40XX5fXX3aXA2819 . . "Audit trail from non-openEHR system of\noriginal commit of information ofrming the\ncontent of the current item."^^ . . . "auditor origen"@es . "feeder audit"@en . . _:AX5fXX3aXX40XX5fXX3aXA2807 . _:AX5fXX3aXX40XX5fXX3aXA2807 . _:AX5fXX3aXX40XX5fXX3aXA2807 "1"^^ . _:AX5fXX3aXX40XX5fXX3aXA2787 . _:AX5fXX3aXX40XX5fXX3aXA2787 "1"^^ . _:AX5fXX3aXX40XX5fXX3aXA2787 . . . _:AX5fXX3aXX40XX5fXX3aXA2816 "1"^^ . _:AX5fXX3aXX40XX5fXX3aXA2816 . _:AX5fXX3aXX40XX5fXX3aXA2816 . _:AX5fXX3aXX40XX5fXX3aXA2796 "1"^^ . _:AX5fXX3aXX40XX5fXX3aXA2796 . _:AX5fXX3aXX40XX5fXX3aXA2796 . _:AX5fXX3aXX40XX5fXX3aXA2825 _:AX5fXX3aXX40XX5fXX3aXA2826 . _:AX5fXX3aXX40XX5fXX3aXA2825 . _:AX5fXX3aXX40XX5fXX3aXA2779 . _:AX5fXX3aXX40XX5fXX3aXA2779 . _:AX5fXX3aXX40XX5fXX3aXA2779 . _:AX5fXX3aXX40XX5fXX3aXA2808 "1"^^ . _:AX5fXX3aXX40XX5fXX3aXA2808 . _:AX5fXX3aXX40XX5fXX3aXA2808 . _:AX5fXX3aXX40XX5fXX3aXA2788 . _:AX5fXX3aXX40XX5fXX3aXA2788 . _:AX5fXX3aXX40XX5fXX3aXA2788 . . _:AX5fXX3aXX40XX5fXX3aXA2817 . . "description of the action to be executed"^^ . "action"@en . "accion"@es . . . . _:AX5fXX3aXX40XX5fXX3aXA2817 . _:AX5fXX3aXX40XX5fXX3aXA2817 . _:AX5fXX3aXX40XX5fXX3aXA2817 . . . "contribuciones"@es . "contributions"@en . "List of contributions causing changes to this EHR.\nEach contribution contains a list of versions, which may\ninclude paths pointing\nto any number of VERSIONABLE items\nitems of type TRANSACTION and FOLDER_TREE"^^ . . _:AX5fXX3aXX40XX5fXX3aXA2797 . _:AX5fXX3aXX40XX5fXX3aXA2797 . _:AX5fXX3aXX40XX5fXX3aXA2797 . _:AX5fXX3aXX40XX5fXX3aXA2794 . . . "health care facility"@en . "servicio del sistema sanitario"@es . "The HCF in the health system which took\npart in the encounter; usually, this\nis where the encounter physically took place, but\nnot in the case of patinet home visits, internet\ncontacts or emergency care."^^ . . . . "COAS::CompositeObservation"^^ . "Headed_section"^^ . "ORGANISER"@en . "Created according to archetyped structures for typical headings \nsuch as SOAP, physical examination, but also pathology result heading \nstructures"^^ . . "ORGANIZADOR"@es . "Should not be used instead of ENTRY hierarchical structures."^^ . "Represents a heading in a heading structure, or \"organiser tree\""^^ . . _:AX5fXX3aXX40XX5fXX3aXA2818 . . . "Id of provider of statement in this ENTRY,\nwhich might be:\nthe patient\na patient agent (parent, guardian...)\nthe clinician\na device or software"^^ . "proveedor"@es . "provider"@en . . _:AX5fXX3aXX40XX5fXX3aXA2826 . _:AX5fXX3aXX40XX5fXX3aXA2826 _:AX5fXX3aXX40XX5fXX3aXA2827 . . _:AX5fXX3aXX40XX5fXX3aXA2789 . _:AX5fXX3aXX40XX5fXX3aXA2789 "1"^^ . _:AX5fXX3aXX40XX5fXX3aXA2789 . _:AX5fXX3aXX40XX5fXX3aXA2809 . _:AX5fXX3aXX40XX5fXX3aXA2809 "1"^^ . _:AX5fXX3aXX40XX5fXX3aXA2809 . . "configuration data mappings from archetyped model of action"^^ . . . "perfil"@es . "profile"@en . . . _:AX5fXX3aXX40XX5fXX3aXA2818 . _:AX5fXX3aXX40XX5fXX3aXA2818 . _:AX5fXX3aXX40XX5fXX3aXA2818 "1"^^ . _:AX5fXX3aXX40XX5fXX3aXA2798 "1"^^ . _:AX5fXX3aXX40XX5fXX3aXA2798 . _:AX5fXX3aXX40XX5fXX3aXA2798 . "The Item class is the clossest match for Entry as described here"^^ . _:AX5fXX3aXX40XX5fXX3aXA2797 . "true"^^ . "ENTRADA"@es . "COAS::HealthRecordEntry and COAS::ObservationQualifier, a generic\nclass which is used to represent context attributes which are \nconcretely modelled here\n"^^ . _:AX5fXX3aXX40XX5fXX3aXA2801 . "ENTRY"@en . _:AX5fXX3aXX40XX5fXX3aXA2800 . . "COAS::HealthRecordEntry and COAS::ObservationQualifier"^^ . . "*_CONTENT"^^ . _:AX5fXX3aXX40XX5fXX3aXA2795 . _:AX5fXX3aXX40XX5fXX3aXA2798 . "Act"^^ . _:AX5fXX3aXX40XX5fXX3aXA2799 . "The abstract parent of all ENTRY subtypes. An ENTRY is the root of a \nlogical item of \"hard\" clinical information created in the \"clinical \nstatement\" context. It is also the minimal unit of information any query \nshould return."^^ . _:AX5fXX3aXX40XX5fXX3aXA2796 . "ClusterOCC"^^ . "datos"@es . "data"@en . _:AX5fXX3aXX40XX5fXX3aXA2825 . . . "Identifier guideline creating this action if relevant"^^ . . . "guideline id"@en . "identificador de la guia (protocolo)"@es . . . "The practice setting, e.g. \"outpatient facility\", \"hospital unit\", \"general practice\" etc, which may be optionally coded. HL7 PracticeSetting domain may be useful for this."^^ . "catacteristicas practicas"@es . "practice setting"@en . . _:AX5fXX3aXX40XX5fXX3aXA2779 . "G1_INSTRUCTION"^^ . _:AX5fXX3aXX40XX5fXX3aXA2781 . "Used for any actionable statement such as medication and therapeutic \norders, monitoring, recall and review. Enoug details must be provided \nfor the specification to be excuted by an actor."^^ . _:AX5fXX3aXX40XX5fXX3aXA2778 . . _:AX5fXX3aXX40XX5fXX3aXA2780 . _:AX5fXX3aXX40XX5fXX3aXA2777 . "INSTRUCTION"@en . _:AX5fXX3aXX40XX5fXX3aXA2776 . "n/a"^^ . "Act subtype Substance_adminsitration, any Act type which is really an \naction specification (cf and Act in the past)"^^ . "INSTRUCCION"@es . . "The root of an action specification"^^ . "Not to be used for plan items which are only specified in general terms, \ne.g. \"comence bronchodilator\""^^ . _:AX5fXX3aXX40XX5fXX3aXA2827 _:AX5fXX3aXX40XX5fXX3aXA2828 . _:AX5fXX3aXX40XX5fXX3aXA2827 . _:AX5fXX3aXX40XX5fXX3aXA2800 "1"^^ . _:AX5fXX3aXX40XX5fXX3aXA2800 . _:AX5fXX3aXX40XX5fXX3aXA2800 . _:AX5fXX3aXX40XX5fXX3aXA2780 . _:AX5fXX3aXX40XX5fXX3aXA2780 . _:AX5fXX3aXX40XX5fXX3aXA2780 "1"^^ . _:AX5fXX3aXX40XX5fXX3aXA2819 . _:AX5fXX3aXX40XX5fXX3aXA2819 _:AX5fXX3aXX40XX5fXX3aXA2820 . _:AX5fXX3aXX40XX5fXX3aXA2799 . _:AX5fXX3aXX40XX5fXX3aXA2799 . _:AX5fXX3aXX40XX5fXX3aXA2799 "1"^^ . _:AX5fXX3aXX40XX5fXX3aXA2828 . _:AX5fXX3aXX40XX5fXX3aXA2828 . "Ordered list of content items under this organiser, which may include:\nmore ORGANISERs\nENTRYs"^^ . "content items"@en . "elementos contenidos"@es . . . . _:AX5fXX3aXX40XX5fXX3aXA2801 . _:AX5fXX3aXX40XX5fXX3aXA2801 _:AX5fXX3aXX40XX5fXX3aXA2802 . _:AX5fXX3aXX40XX5fXX3aXA2781 "1"^^ . _:AX5fXX3aXX40XX5fXX3aXA2781 . _:AX5fXX3aXX40XX5fXX3aXA2781 . _:AX5fXX3aXX40XX5fXX3aXA2788 . . "The EHR class is the centre node of the EHR \"repository\" \nfor a subject of care"^^ . "ehr"@es . "ehr"@en . _:AX5fXX3aXX40XX5fXX3aXA2789 . "RecordFolder class"^^ . "EHCR"^^ . _:AX5fXX3aXX40XX5fXX3aXA2790 . "G1_EHR"^^ . _:AX5fXX3aXX40XX5fXX3aXA2786 . _:AX5fXX3aXX40XX5fXX3aXA2787 . _:AX5fXX3aXX40XX5fXX3aXA2791 . . _:AX5fXX3aXX40XX5fXX3aXA2810 "1"^^ . _:AX5fXX3aXX40XX5fXX3aXA2810 . _:AX5fXX3aXX40XX5fXX3aXA2810 . _:AX5fXX3aXX40XX5fXX3aXA2790 . _:AX5fXX3aXX40XX5fXX3aXA2790 . _:AX5fXX3aXX40XX5fXX3aXA2790 "1"^^ . "intervalo de la sesion"@es . "session time"@en . . . "Start and endd times of the clinical sesion"^^ . . _:AX5fXX3aXX40XX5fXX3aXA2793 . . "G1_OBSERVATION_CONTENT, G1_SUBJECTIVE_CONTENT"^^ . "Entry subtype for all clinical data in the past or present, i.e. which\n(by the time it is recorded) has already ocurred. OBSERVATION data\nis expressed using the class HISTORY_T, which guarantees that\nit is situated in time."^^ . "Cluster"^^ . . "OBSERVATION is used for all notional objective (i.e. measured in some\nway) observations of phenomenena as well as all statements or\nopinios (i.e. subjective data) about things in the past.\n"^^ . "not used for future statements of any kind, including instructions, \nintentions, plans etc..."^^ . "OBSERVACION"@es . "Observation"^^ . _:AX5fXX3aXX40XX5fXX3aXA2792 . "OBSERVATION"@en . . . . . "Ontology based on the openEHR EHR Reference Model\nRevision: 4.3.2\nWritten in owl by Isabel Roman"^^ . . . "location"@en . "localizacion"@es . "The actual location where the session occurred, e.g. \"microbiol lab 2\", \"home\", \"ward A3\" and so on"^^ . . "other context"@en . "otros contextos"@es . . . . "Other optional context which will be archetyped."^^ . _:AX5fXX3aXX40XX5fXX3aXA2802 . _:AX5fXX3aXX40XX5fXX3aXA2802 _:AX5fXX3aXX40XX5fXX3aXA2803 . _:AX5fXX3aXX40XX5fXX3aXA2782 . _:AX5fXX3aXX40XX5fXX3aXA2782 . _:AX5fXX3aXX40XX5fXX3aXA2782 "1"^^ . _:AX5fXX3aXX40XX5fXX3aXA2811 . _:AX5fXX3aXX40XX5fXX3aXA2811 "1"^^ . _:AX5fXX3aXX40XX5fXX3aXA2811 . _:AX5fXX3aXX40XX5fXX3aXA2791 . _:AX5fXX3aXX40XX5fXX3aXA2791 . _:AX5fXX3aXX40XX5fXX3aXA2791 "1"^^ . "is persistent"@en . "es persistente"@es . . . _:AX5fXX3aXX40XX5fXX3aXA2822 . _:AX5fXX3aXX40XX5fXX3aXA2820 . _:AX5fXX3aXX40XX5fXX3aXA2820 _:AX5fXX3aXX40XX5fXX3aXA2821 . . . . "content"@en . "contenido"@es . "The clinical session content\nof this transaction, i.e. the\ninformation generated in the clinical session"^^ . . _:AX5fXX3aXX40XX5fXX3aXA2803 _:AX5fXX3aXX40XX5fXX3aXA2804 . _:AX5fXX3aXX40XX5fXX3aXA2803 . _:AX5fXX3aXX40XX5fXX3aXA2783 . _:AX5fXX3aXX40XX5fXX3aXA2783 "1"^^ . _:AX5fXX3aXX40XX5fXX3aXA2783 . "all transactions"@en . "todas las transacciones"@es . . "Master list of all transaction references in this EHR"^^ . . . . "Optional directory structure for this EHR"^^ . . . "directory"@en . "directorio"@es . "transacciones"@es . "transactions"@en . . "The list of references to versioned\ntransactions in this folder. Since more\nthan one folder can\ninclude the same transaction, this\nrelationship is an association."^^ . . . . . "current state of the action in a state machine description"^^ . . "state"@en . "estado"@es . . _:AX5fXX3aXX40XX5fXX3aXA2812 "1"^^ . _:AX5fXX3aXX40XX5fXX3aXA2812 . _:AX5fXX3aXX40XX5fXX3aXA2812 . _:AX5fXX3aXX40XX5fXX3aXA2792 . _:AX5fXX3aXX40XX5fXX3aXA2792 "1"^^ . _:AX5fXX3aXX40XX5fXX3aXA2792 .