archetype (adl_version=1.4) openEHR-EHR-ITEM_TREE.referral.v1 concept [at0000] -- Referral data language original_language = <[ISO_639-1::en]> translations = < ["de"] = < language = <[ISO_639-1::de]> author = < ["name"] = <"Jasmin Buck, Sebastian Garde"> ["organisation"] = <"University of Heidelberg, Central Queensland University"> > > > description original_author = < ["name"] = <"Sam Heard"> ["organisation"] = <"Ocean Informatics"> ["date"] = <"22/04/2006"> ["email"] = <"sam.heard@oceaninformatics.biz"> > details = < ["de"] = < language = <[ISO_639-1::de]> purpose = <"Zur Dokumentation von Informationen einer Überweisung als Teil einer Anweisung (INSTRUCTION) oder Handlung (ACTION)"> use = <"*"> misuse = <"*"> > ["en"] = < language = <[ISO_639-1::en]> purpose = <"For recording information about a referral as part of an instruction or action."> use = <""> misuse = <""> > > lifecycle_state = <"Initial"> other_contributors = <> definition ITEM_TREE[at0000] occurrences matches {0..*} matches { -- Referral data items cardinality matches {0..*; unordered} matches { ELEMENT[at0002] matches { -- Clinical issue value matches { DV_TEXT matches {*} } } ELEMENT[at0035] occurrences matches {0..1} matches { -- Other details value matches { DV_TEXT matches {*} } } CLUSTER[at0014] occurrences matches {0..1} matches { -- Referring provider details items cardinality matches {1; unordered} matches { ELEMENT[at0015] matches { -- Name of referring provider value matches { DV_TEXT matches {*} } } ELEMENT[at0017] occurrences matches {0..1} matches { -- Role of referring provider value matches { DV_TEXT matches {*} } } ELEMENT[at0016] occurrences matches {0..1} matches { -- Address of referring provider value matches { DV_TEXT matches {*} } } CLUSTER[at0026] occurrences matches {0..1} matches { -- Contact details of the referring provider items cardinality matches {0..*; unordered} matches { ELEMENT[at0025] occurrences matches {0..*} matches { -- Telephone name matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0029, -- Mobile at0030, -- Work at0031, -- Alternative work at0032, -- Direct work line at0033] -- Pager } } } value matches { DV_TEXT matches {*} } } ELEMENT[at0028] occurrences matches {0..1} matches { -- Email value matches { DV_TEXT matches {*} } } ELEMENT[at0027] occurrences matches {0..1} matches { -- Faxsimile value matches { DV_TEXT matches {*} } } } } } } CLUSTER[at0021] matches { -- Secondary provider details items cardinality matches {1..*; unordered} matches { ELEMENT[at0022] occurrences matches {0..1} matches { -- Name of secondary provider value matches { DV_TEXT matches {*} } } ELEMENT[at0024] occurrences matches {0..1} matches { -- Role of secondary provider value matches { DV_TEXT matches {*} } } ELEMENT[at0023] occurrences matches {0..1} matches { -- Address of secondary provider value matches { DV_TEXT matches {*} } } CLUSTER[at0034] occurrences matches {0..1} matches { -- Contact details of the secondary provider items cardinality matches {0..*; unordered} matches { use_node ELEMENT /items[at0014]/items[at0026]/items[at0025] use_node ELEMENT /items[at0014]/items[at0026]/items[at0028] use_node ELEMENT /items[at0014]/items[at0026]/items[at0027] } } } } CLUSTER[at0003] occurrences matches {0..1} matches { -- Process items cardinality matches {0..*; unordered} matches { CLUSTER[at0004] occurrences matches {0..1} matches { -- Urgency items cardinality matches {0..*; unordered} matches { ELEMENT[at0005] occurrences matches {0..1} matches { -- Timing value matches { 0|[local::at0006], -- Emergency 1|[local::at0007], -- Urgent 2|[local::at0008] -- Non-urgent } } ELEMENT[at0009] occurrences matches {0..1} matches { -- Impact value matches { 0|[local::at0010], -- High 1|[local::at0011], -- Moderate 2|[local::at0012] -- Low } } ELEMENT[at0013] occurrences matches {0..1} matches { -- Maximal delay value matches { C_DV_QUANTITY < property = <[openehr::128]> list = < ["1"] = < units = <"h"> magnitude = <|>0.0|> > ["2"] = < units = <"d"> magnitude = <|>0.0|> > ["3"] = < units = <"wk"> magnitude = <|>0.0|> > ["4"] = < units = <"mo"> magnitude = <|>0.0|> > ["5"] = < units = <"min"> > > > } } } } ELEMENT[at0018] occurrences matches {0..1} matches { -- Date referred value matches { DV_DATE_TIME matches { value matches {yyyy-??-??T??:??:??} } } } ELEMENT[at0019] occurrences matches {0..1} matches { -- Date first attended value matches { DV_DATE_TIME matches { value matches {yyyy-??-??T??:??:??} } } } ELEMENT[at0020] occurrences matches {0..1} matches { -- Date last attended value matches { DV_DATE_TIME matches { value matches {yyyy-??-??T??:??:??} } } } } } } } ontology term_definitions = < ["de"] = < items = < ["at0000"] = < description = <"Daten einer Überweisung, dokumentiert als Teil einer INSTRUCTION oder ACTION"> text = <"Überweisungsdaten"> > ["at0002"] = < description = <"die klinische Fragestellung, die eine Behandlung eines zweiten Gesundheitdienstleisters erfordert"> text = <"Klinische Fragestellung"> > ["at0003"] = < description = <"Informationen zum Ablauf der Überweisung"> text = <"Ablauf"> > ["at0004"] = < description = <"Informationen zur Dringlichkeit der Überweisung"> text = <"Dringlichkeit"> > ["at0005"] = < description = <"eine angemessene Zeitberechung des Auftrages"> text = <"Zeitliche Dringlichkeit "> > ["at0006"] = < description = <"die Person benötigt sofortige Behandlung"> text = <"Notfall"> > ["at0007"] = < description = <"die Person benötigt so bald wie möglich eine Behandlung"> text = <"Eilig"> > ["at0008"] = < description = <"die Person benötigt zum nächstmöglichen Termin eine Behandlung"> text = <"nicht eilig"> > ["at0009"] = < description = <"der Einfluss des Zustandes auf das Leben der Person"> text = <"Einfluss"> > ["at0010"] = < description = <"der Zustand hat einen bedeutenden Einfluss auf die Körperfunktionen der Person"> text = <"hoch"> > ["at0011"] = < description = <"der Zustand hat einen Einfluss, aber die Person hat die meisten Körperfunktionen"> text = <"moderat"> > ["at0012"] = < description = <"der Zustand hat geringen oder keinen Einfluss auf die Körperfunktionen der Person"> text = <"gering"> > ["at0013"] = < description = <"Ein Angabe des maximalen Verzugs, der bis zur Behandlung der Person als vertretbar angesehen wird"> text = <"Maximaler Verzug"> > ["at0014"] = < description = <"Informationen über überweisenden Dienstleister bzw. den ersten Dienstleister"> text = <"Einzelheiten des überweisenden Dienstleisters"> > ["at0015"] = < description = <"Name des überweisenden Dienstleisters"> text = <"Name des überweisenden Dienstleisters"> > ["at0016"] = < description = <"*"> text = <"Adresse des überweisenden Dienstleisters"> > ["at0017"] = < description = <"*"> text = <"Aufgabe des überweisenden Dienstleisters"> > ["at0018"] = < description = <"das Datum der ursprünglichen Überweisung"> text = <"Datum der Überweisung"> > ["at0019"] = < description = <"das Datum, an dem die Person das erste Mal vom zweiten Gesundheitsdienstleister behandelt wurde"> text = <"Datum der ersten Behandlung"> > ["at0020"] = < description = <"das Datum, an dem die Person das letzte Mal vom zweiten Gesundheitsdienstleister behandelt wurde"> text = <"Datum der letzten Behandlung"> > ["at0021"] = < description = <"Einzelheiten des Gesundheitsdienstleisters, an den die Überweisung gerichtet ist"> text = <"Einzelheiten des zweiten Gesundheitsdienstleisters"> > ["at0022"] = < description = <"der Name des Gesundheitsdienstleisters, an den die Überweisung gerichtet ist"> text = <"Name des zweiten Gesundheitsdienstleisters"> > ["at0023"] = < description = <"die Adresse des Gesundheitsdienstleisters, an den die Überweisung gerichtet ist"> text = <"Adresse des zweiten Gesundheitsdienstleisters"> > ["at0024"] = < description = <"die Aufgabe des Gesundheitsdienstleisters, an den die Überweisung gerichtet ist"> text = <"Aufgabe des zweiten Gesundheitsdienstleisters"> > ["at0025"] = < description = <"Telefonnummern"> text = <"Telefon"> > ["at0026"] = < description = <"die Kontakteinzelheiten des überweisenden Dienstleisters"> text = <"Kontakteinzelheiten des überweisenden Dienstleisters"> > ["at0027"] = < description = <"die Faxnummer des Anbieters"> text = <"Fax"> > ["at0028"] = < description = <"E-Mail Adresse des Anbieters"> text = <"E-Mail"> > ["at0029"] = < description = <"die Nummer eines mobilen Telefons oder Handys"> text = <"Mobil"> > ["at0030"] = < description = <"die Telefonnummer des Arbeitsplatzes"> text = <"Nummer"> > ["at0031"] = < description = <"eine Alternative Telefonnummer"> text = <"alternative Nummer"> > ["at0032"] = < description = <"eine Telefonnummer, die direkt zum Dienstleiter vermittlelt"> text = <"Durchwahl"> > ["at0033"] = < description = <"eine Pagernummer zum Hinterlassen von Nachrichten"> text = <"Pager"> > ["at0034"] = < description = <"*"> text = <"Kontaktdetails des zweiten Gesundheitsdienstleisters"> > ["at0035"] = < description = <"andere für die Überweisung relevante Einzelheiten"> text = <"Andere Einzelheiten"> > > > ["en"] = < items = < ["at0000"] = < description = <"Data about a referral recorded as part of an instruction or action"> text = <"Referral data"> > ["at0002"] = < description = <"The clinical issue that requires care from the second provider"> text = <"Clinical issue"> > ["at0003"] = < description = <"Information about the process of the referral"> text = <"Process"> > ["at0004"] = < description = <"information about the urgency of the referral"> text = <"Urgency"> > ["at0005"] = < description = <"The appropriate timing of the appointment"> text = <"Timing"> > ["at0006"] = < description = <"Person requires care immediately"> text = <"Emergency"> > ["at0007"] = < description = <"Person requires care as soon as possible"> text = <"Urgent"> > ["at0008"] = < description = <"Person requires care at providers convenience"> text = <"Non-urgent"> > ["at0009"] = < description = <"The impact of the condition on the person's life"> text = <"Impact"> > ["at0010"] = < description = <"The condition is having major impact on the person's ability to function"> text = <"High"> > ["at0011"] = < description = <"The condition is having an impact but the person is able to function to a large extent"> text = <"Moderate"> > ["at0012"] = < description = <"The condition is having little or no impact on the person's ability to function"> text = <"Low"> > ["at0013"] = < description = <"An indication of the maximum delay that would be reasonable before the person is seen"> text = <"Maximal delay"> > ["at0014"] = < description = <"Information about the referrer or primary provider"> text = <"Referring provider details"> > ["at0015"] = < description = <"The name of the referring provider"> text = <"Name of referring provider"> > ["at0016"] = < description = <"*"> text = <"Address of referring provider"> > ["at0017"] = < description = <"*"> text = <"Role of referring provider"> > ["at0018"] = < description = <"The date of the original referral"> text = <"Date referred"> > ["at0019"] = < description = <"The date the person first attended the secondary provider"> text = <"Date first attended"> > ["at0020"] = < description = <"The date the person last attended the second provider"> text = <"Date last attended"> > ["at0021"] = < description = <"Details about the provider to whom the referral is directed"> text = <"Secondary provider details"> > ["at0022"] = < description = <"The name of the provider to which the referral is directed"> text = <"Name of secondary provider"> > ["at0023"] = < description = <"The address of the provider to which the referral is directed"> text = <"Address of secondary provider"> > ["at0024"] = < description = <"The role of the provider to which the referral is directed"> text = <"Role of secondary provider"> > ["at0025"] = < description = <"Telephone contact information"> text = <"Telephone"> > ["at0026"] = < description = <"Contact details of the referring provider"> text = <"Contact details of the referring provider"> > ["at0027"] = < description = <"The faxsimile number of the provider"> text = <"Faxsimile"> > ["at0028"] = < description = <"Email address of the provider"> text = <"Email"> > ["at0029"] = < description = <"The mobile or cell phone number"> text = <"Mobile"> > ["at0030"] = < description = <"The work telephone number"> text = <"Work"> > ["at0031"] = < description = <"An alternative work telephone number"> text = <"Alternative work"> > ["at0032"] = < description = <"A phone number that is direct to the provider"> text = <"Direct work line"> > ["at0033"] = < description = <"A pager number to leave messages"> text = <"Pager"> > ["at0034"] = < description = <"*"> text = <"Contact details of the secondary provider"> > ["at0035"] = < description = <"Other details relevant to the referral"> text = <"Other details"> > > > >