archetype (adl_version=1.4) openEHR-EHR-OBSERVATION.operation_record.v1 concept [at0000] -- Operation Record language original_language = <[ISO_639-1::en]> description original_author = < ["name"] = <"unknown"> > details = < ["en"] = < language = <[ISO_639-1::en]> purpose = <"To record details pertaining to open or keyhole operation performed"> use = <""> misuse = <""> copyright = <"© openEHR Foundation"> > > lifecycle_state = <"AuthorDraft"> other_contributors = <> other_details = < ["references"] = <""> > definition OBSERVATION[at0000] matches { -- Operation Record data matches { HISTORY[at0001] matches { -- Event Series events cardinality matches {1..*; unordered} matches { EVENT[at0002] occurrences matches {0..1} matches { -- Any event data matches { ITEM_TREE[at0003] matches { -- Tree items cardinality matches {0..*; unordered} matches { CLUSTER[at0004] occurrences matches {0..1} matches { -- Incision items cardinality matches {0..*; unordered} matches { ELEMENT[at0009] occurrences matches {0..1} matches { -- Skin incision value matches { DV_TEXT matches {*} DV_CODED_TEXT matches { defining_code matches { [local:: at0010, -- Midline at0011, -- Transverse at0012] -- Classical } } } } ELEMENT[at0014] occurrences matches {0..1} matches { -- Location of incision value matches { DV_TEXT matches {*} } } ELEMENT[at0013] occurrences matches {0..1} matches { -- Time of knife to skin value matches { DV_DATE_TIME matches { value matches {yyyy-??-??T??:??:??} } } } ELEMENT[at0054] occurrences matches {0..1} matches { -- Comment value matches { DV_TEXT matches {*} } } } } CLUSTER[at0037] occurrences matches {0..*} matches { -- Operative details items cardinality matches {0..*; unordered} matches { ELEMENT[at0036] occurrences matches {0..1} matches { -- Overall Technique value matches { DV_TEXT matches {*} } } CLUSTER[at0047] occurrences matches {0..1} matches { -- Details of surgery performed items cardinality matches {0..*; unordered} matches { ELEMENT[at0044] occurrences matches {0..1} matches { -- Approach value matches { DV_TEXT matches {*} } } ELEMENT[at0049] occurrences matches {0..1} matches { -- Method value matches { DV_CODED_TEXT matches { defining_code matches {[local::]} } } } ELEMENT[at0045] occurrences matches {0..1} matches { -- Description value matches { DV_CODED_TEXT matches { defining_code matches {[local::]} } } } ELEMENT[at0050] occurrences matches {0..1} matches { -- Comment value matches { DV_CODED_TEXT matches { defining_code matches {[local::]} } } } } } CLUSTER[at0042] occurrences matches {0..*} matches { -- Haemostasis items cardinality matches {0..*; unordered} matches { ELEMENT[at0043] occurrences matches {0..*} matches { -- Method value matches { DV_TEXT matches {*} } } ELEMENT[at0046] occurrences matches {0..1} matches { -- Comment value matches { DV_CODED_TEXT matches { defining_code matches {[local::]} } } } } } CLUSTER[at0052] occurrences matches {0..*} matches { -- Operation-specific details items cardinality matches {0..*; unordered} matches { allow_archetype CLUSTER[at0055] occurrences matches {0..1} matches { include archetype_id/value matches {/.*/} } ELEMENT[at0053] occurrences matches {0..1} matches { -- Comment value matches { DV_TEXT matches {*} } } } } ELEMENT[at0038] occurrences matches {0..1} matches { -- Comment value matches { DV_TEXT matches {*} } } } } CLUSTER[at0005] occurrences matches {0..1} matches { -- Closure items cardinality matches {0..*; unordered} matches { ELEMENT[at0015] occurrences matches {0..1} matches { -- Number of Closure layers value matches { DV_COUNT matches {*} } } CLUSTER[at0016] occurrences matches {0..*} matches { -- Layer closure detail items cardinality matches {0..*; unordered} matches { ELEMENT[at0017] occurrences matches {0..1} matches { -- Layer value matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0020, -- Peritoneum at0021, -- Sheath at0022, -- Fat at0023] -- Skin } } DV_TEXT matches {*} } } ELEMENT[at0018] occurrences matches {0..1} matches { -- Method of closure value matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0024, -- Suture - continuous at0025, -- Staples at0026, -- Suture - subcutaneous at0027] -- Suture - interrupted } } } } ELEMENT[at0019] occurrences matches {0..1} matches { -- Material used value matches { DV_TEXT matches {*} } } ELEMENT[at0030] occurrences matches {0..1} matches { -- Comment value matches { DV_TEXT matches {*} } } } } CLUSTER[at0032] occurrences matches {0..1} matches { -- Drains items cardinality matches {0..*; unordered} matches { ELEMENT[at0034] occurrences matches {0..1} matches { -- Type value matches { DV_TEXT matches {*} } } ELEMENT[at0033] occurrences matches {0..1} matches { -- Location value matches { DV_TEXT matches {*} } } ELEMENT[at0035] occurrences matches {0..1} matches { -- Comment value matches { DV_CODED_TEXT matches { defining_code matches {[local::]} } } } } } ELEMENT[at0051] occurrences matches {0..1} matches { -- Comment value matches { DV_TEXT matches {*} } } } } CLUSTER[at0006] occurrences matches {0..1} matches { -- Intra-Operative Issues items cardinality matches {0..*; unordered} matches { ELEMENT[at0007] occurrences matches {0..1} matches { -- Complication value matches { DV_TEXT matches {*} } } ELEMENT[at0008] occurrences matches {0..1} matches { -- Issue or difficulty value matches { DV_TEXT matches {*} } } ELEMENT[at0031] occurrences matches {0..1} matches { -- Comment value matches { DV_TEXT matches {*} } } } } } } } } } } } } ontology term_definitions = < ["en"] = < items = < ["at0000"] = < text = <"Operation Record"> description = <"Record of details pertaining to open or keyhole operation performed"> > ["at0001"] = < text = <"Event Series"> description = <"@ internal @"> > ["at0002"] = < text = <"Any event"> description = <"*"> > ["at0003"] = < text = <"Tree"> description = <"@ internal @"> > ["at0004"] = < text = <"Incision"> description = <"*"> > ["at0005"] = < text = <"Closure"> description = <"*"> > ["at0006"] = < text = <"Intra-Operative Issues"> description = <"*"> > ["at0007"] = < text = <"Complication"> description = <"Identify any complications incurred in performing the surgery"> > ["at0008"] = < text = <"Issue or difficulty"> description = <"Identify any issue or difficulty faced during surgery"> > ["at0009"] = < text = <"Skin incision"> description = <"Details about skin incision"> > ["at0010"] = < text = <"Midline"> description = <"*"> > ["at0011"] = < text = <"Transverse"> description = <"*"> > ["at0012"] = < text = <"Classical"> description = <"*"> > ["at0013"] = < text = <"Time of knife to skin"> description = <"*"> > ["at0014"] = < text = <"Location of incision"> description = <"Location of incision"> > ["at0015"] = < text = <"Number of Closure layers"> description = <"*"> > ["at0016"] = < text = <"Layer closure detail"> description = <"*"> > ["at0017"] = < text = <"Layer"> description = <"Name of layer"> > ["at0018"] = < text = <"Method of closure"> description = <"Method of closure"> > ["at0019"] = < text = <"Material used"> description = <"Details about closure material"> > ["at0020"] = < text = <"Peritoneum"> description = <"*"> > ["at0021"] = < text = <"Sheath"> description = <"*"> > ["at0022"] = < text = <"Fat"> description = <"*"> > ["at0023"] = < text = <"Skin"> description = <"*"> > ["at0024"] = < text = <"Suture - continuous"> description = <"*"> > ["at0025"] = < text = <"Staples"> description = <"*"> > ["at0026"] = < text = <"Suture - subcutaneous"> description = <"*"> > ["at0027"] = < text = <"Suture - interrupted"> description = <"*"> > ["at0030"] = < text = <"Comment"> description = <"Additional comment about closure"> > ["at0031"] = < text = <"Comment"> description = <"Additional comment about operative issues"> > ["at0032"] = < text = <"Drains"> description = <"Detail about drains inserted"> > ["at0033"] = < text = <"Location"> description = <"Location of drain"> > ["at0034"] = < text = <"Type"> description = <"Type of drain"> > ["at0035"] = < text = <"Comment"> description = <"Comment about drains"> > ["at0036"] = < text = <"Overall Technique"> description = <"Details of operative technique performed"> > ["at0037"] = < text = <"Operative details"> description = <"*"> > ["at0038"] = < text = <"Comment"> description = <"Overall comment about the operation performed"> > ["at0042"] = < text = <"Haemostasis"> description = <"Details about haemostasis methods used"> > ["at0043"] = < text = <"Method"> description = <"Method of haemostasis"> > ["at0044"] = < text = <"Approach"> description = <"Surgical approach"> > ["at0045"] = < text = <"Description"> description = <"Details of surgery performed"> > ["at0046"] = < text = <"Comment"> description = <"*"> > ["at0047"] = < text = <"Details of surgery performed"> description = <"*"> > ["at0049"] = < text = <"Method"> description = <"Details of method performed"> > ["at0050"] = < text = <"Comment"> description = <"Comments about surgery performed"> > ["at0051"] = < text = <"Comment"> description = <"Comments about closure"> > ["at0052"] = < text = <"Operation-specific details"> description = <"Further details about operation that are very specific to purpose"> > ["at0053"] = < text = <"Comment"> description = <"Comment on operation-specific details"> > ["at0054"] = < text = <"Comment"> description = <"Comment about the incision and opening phase of surgical operation"> > ["at0055"] = < text = <"Any operation-specific details"> description = <"Cluster for further details about operation that are very specific to purpose"> > > > >