ARCHETYPE Event Summary (openEHR-EHR-COMPOSITION.event_summary.v1)

ARCHETYPE IDopenEHR-EHR-COMPOSITION.event_summary.v1
ConceptEvent Summary
DescriptionA record, reported by a clinician, of one significant health care event involving the subject of care.
Use An Event Summary may also be used to update a health care provider's local record or to share information, at the discretion of the clinician and with the consent of the individual.
Purpose The aim of an Event Summary is to provide information to an individual's Personally Controlled Electronic Health Record (PCEHR) of significant health care events, at the discretion of the clinician, with the consent of the individual.
References
Copyright© openEHR Foundation
AuthorsAuthor name:
Organisation: National E-Health Transition Authority
Email: clinicalinfo@nehta.gov.au
Date originally authored: 08-Sep-2011
Other Details LanguageAuthor name:
Organisation: National E-Health Transition Authority
Email: clinicalinfo@nehta.gov.au
Date originally authored: 08-Sep-2011
OtherDetails Language Independent{MD5-CAM-1.0.1=7473B1D19266D8A2A36646DB321ED7EF}
Keywords
LifecycleOrganisationDraft
UID1.2.36.1.2001.1001.100.136.1.1
Language useden
Citeable Identifier1013.1.986
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openEHR-EHR-SECTION.event_overview.v1 and specialisations
Exclude:
All not explicitly included archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/content[at0004], code=at0004, itemType=SLOT, level=1, text=Newly Identified Adverse Reactions, description=Information about adverse reactions of the patient (including allergies and intolerances), and any relevant reaction details. This includes statements about adverse reactions that need to be positively recorded as absent or excluded., comment=Includes adverse reactions of which the author became aware during the health event., uncommonOntologyItems={detail_docref=sections/NEHTA-20113-Newly_Identified_Adverse_Reactions-Section.xml, dc_id=20113.136.1, spec_id=88}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=Include:
openEHR-EHR-SECTION.adverse_reactions.v1 and specialisations
Exclude:
All not explicitly included archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/content[at0005], code=at0005, itemType=SLOT, level=1, text=Medications, description=Therapeutic Goods which are/were prescribed for the patient or the patient has/had been taking., comment=null, uncommonOntologyItems={detail_docref=sections/NEHTA-16146-Medications-Section.xml, dc_id=16146.136.1, spec_id=86}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=Include:
openEHR-EHR-SECTION.medication_orders.v1 and specialisations
Exclude:
All not explicitly included archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/content[at0006], code=at0006, itemType=SLOT, level=1, text=Diagnoses/Interventions, description=The current and past medical history of the subject of care which is relevant to the clinical event, this includes problem/diagnosis and medical or surgical procedures performed., comment=This includes diagnoses that were identified at the event which are significant to it, and also any interventions performed during the event or those occurring in the past that are significant to it., uncommonOntologyItems={detail_docref=sections/NEHTA-16117-Diagnoses_Interventions-Section.xml, dc_id=16117.136.1, spec_id=134}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=Include:
openEHR-EHR-SECTION.medical_history.v1 and specialisations
Exclude:
All not explicitly included archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/content[at0007], code=at0007, itemType=SLOT, level=1, text=Administered Immunisations, description=Information about the immunisation history of the subject of care., comment=null, uncommonOntologyItems={detail_docref=sections/NEHTA-16638-Administered_Immunisations-Section.xml, dc_id=16638.136.1, spec_id=137}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=Include:
openEHR-EHR-SECTION.immunisations.v1 and specialisations
Exclude:
All not explicitly included archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/content[at0008], code=at0008, itemType=SLOT, level=1, text=Diagnostic Investigations, description=Describes the diagnostic tests or procedures performed on or requested for the subject of care during the healthcare event, that are considered to be relevant to the subject of care’s ongoing care., comment=null, uncommonOntologyItems={detail_docref=sections/NEHTA-20117-Diagnostic_Investigations-Section.xml, dc_id=20117.136.1, spec_id=91}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=Include:
openEHR-EHR-SECTION.diagnostic_investigations.v1 and specialisations
Exclude:
All not explicitly included archetypes, extendedValues=null]], details=[], other_participations=[], data=[ResourceSimplifiedHierarchyItem [path=/category, code=null, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=0, text=Category, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=null, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/category, code=null, itemType=DV_CODED_TEXT, level=1, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • event
, extendedValues=null]], provider=[]}, topLevelItems={context=ResourceSimplifiedHierarchyItem [path=ROOT_/context, code=null, itemType=EVENT_CONTEXT, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=1..1, cardinalityText=mandatory, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT_CONTEXT, bindings=null, values=null, extendedValues=null], content=ResourceSimplifiedHierarchyItem [path=ROOT_/content[at0003], code=at0003, itemType=SECTION, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=content, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/content[at0003], code=at0003, itemType=SLOT, level=1, text=Event Details, description=Summary information concerning the event., comment=null, uncommonOntologyItems={detail_docref=sections/NEHTA-16672-Event_Details-Section.xml, dc_id=16672.136.1, spec_id=148}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=Include:
openEHR-EHR-SECTION.event_overview.v1 and specialisations
Exclude:
All not explicitly included archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/content[at0004], code=at0004, itemType=SLOT, level=1, text=Newly Identified Adverse Reactions, description=Information about adverse reactions of the patient (including allergies and intolerances), and any relevant reaction details. This includes statements about adverse reactions that need to be positively recorded as absent or excluded., comment=Includes adverse reactions of which the author became aware during the health event., uncommonOntologyItems={detail_docref=sections/NEHTA-20113-Newly_Identified_Adverse_Reactions-Section.xml, dc_id=20113.136.1, spec_id=88}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=Include:
openEHR-EHR-SECTION.adverse_reactions.v1 and specialisations
Exclude:
All not explicitly included archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/content[at0005], code=at0005, itemType=SLOT, level=1, text=Medications, description=Therapeutic Goods which are/were prescribed for the patient or the patient has/had been taking., comment=null, uncommonOntologyItems={detail_docref=sections/NEHTA-16146-Medications-Section.xml, dc_id=16146.136.1, spec_id=86}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=Include:
openEHR-EHR-SECTION.medication_orders.v1 and specialisations
Exclude:
All not explicitly included archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/content[at0006], code=at0006, itemType=SLOT, level=1, text=Diagnoses/Interventions, description=The current and past medical history of the subject of care which is relevant to the clinical event, this includes problem/diagnosis and medical or surgical procedures performed., comment=This includes diagnoses that were identified at the event which are significant to it, and also any interventions performed during the event or those occurring in the past that are significant to it., uncommonOntologyItems={detail_docref=sections/NEHTA-16117-Diagnoses_Interventions-Section.xml, dc_id=16117.136.1, spec_id=134}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=Include:
openEHR-EHR-SECTION.medical_history.v1 and specialisations
Exclude:
All not explicitly included archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/content[at0007], code=at0007, itemType=SLOT, level=1, text=Administered Immunisations, description=Information about the immunisation history of the subject of care., comment=null, uncommonOntologyItems={detail_docref=sections/NEHTA-16638-Administered_Immunisations-Section.xml, dc_id=16638.136.1, spec_id=137}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=Include:
openEHR-EHR-SECTION.immunisations.v1 and specialisations
Exclude:
All not explicitly included archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/content[at0008], code=at0008, itemType=SLOT, level=1, text=Diagnostic Investigations, description=Describes the diagnostic tests or procedures performed on or requested for the subject of care during the healthcare event, that are considered to be relevant to the subject of care’s ongoing care., comment=null, uncommonOntologyItems={detail_docref=sections/NEHTA-20117-Diagnostic_Investigations-Section.xml, dc_id=20117.136.1, spec_id=91}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=Include:
openEHR-EHR-SECTION.diagnostic_investigations.v1 and specialisations
Exclude:
All not explicitly included archetypes, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]