Norwegian openEHR Repository
Name
Clinical pathway order
Description
Order for a high level, standardised clinical pathway to guide the management of a problem or condition.
Purpose
To order a high level, standardised clinical pathway to guide the management of a problem or condition.
Use
Use to order a high level, standardised clinical pathway to guide the management of a problem or condition.

This archetype has been designed to support the ordering of high level, standardised clinical pathways to be carried out. Examples include, but are not limited to:
- Cancer care pathways outlining the major events of a cancer treatment, including the start and end of investigation, particularly significant multidisciplinary team (MDT) meetings, or the start of medical, radiation or surgical treatment.
- Mental health and/or addiction care pathways outlining the major milestones of the treatment of mental health and/or addiction conditions.
- Standardised high level pathways for any type of medical or surgical treatment, such as allergen immunotherapy (AIT) or elective hyperbaric oxygen therapy (HBOT).
Misuse
Not to be used to record information about events carried out as part of the execution of the pathway. Use the ACTION.clinical_pathway archetype for this purpose.

Not to be used to record orders for individualised protocols, care plans or guidelines. Use other appropriate archetypes for this purpose.
References
Ordinering av klinisk forløp, arketypeutkast [Internet]. openEHR Foundation, OpenEHR International Clinical Knowledge Manager [sitert: 2024-04-25]. Hentet fra: https://ckm.openehr.org/ckm/archetypes/1013.1.7253
Archetype Id
openEHR-EHR-INSTRUCTION.clinical_pathway_order.v0
Copyright
© Nasjonal IKT HF, openEHR Foundation
Licencing
This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/.
Original Author
Bjørn Næss
DIPS ASA
Date Originally Authored
2015-06-20
Language Details
Norwegian Bokmal
Bjørn Næss, Silje Ljosland Bakke
DIPS ASA , Helse Vest IKT AS
Name Card Type Description
Initiating organisation
0..* Slot (Cluster) Details about the healthcare provider or organisation responsible for originally initiating the clinical pathway.
Comment
Most of the time this will be the author of the composition, but some clinical pathways have started outside of the current healthcare provider.
Slot
Slot
Extension
0..* Slot (Cluster) Additional information required to capture local content or to align with other reference models/formalisms.
Slot
Slot
archetype (adl_version=1.4; uid=9184d6f7-7aa7-47a3-9904-2365683b7080)
	openEHR-EHR-INSTRUCTION.clinical_pathway_order.v0

concept
	[at0000]	-- Clinical pathway order
language
	original_language = <[ISO_639-1::en]>
	translations = <
		["nb"] = <
			language = <[ISO_639-1::nb]>
			author = <
				["name"] = <"Bjørn Næss, Silje Ljosland Bakke">
				["organisation"] = <"DIPS ASA , Helse Vest IKT AS">
				["email"] = <"bna@dips.no, silje.ljosland.bakke@helse-vest-ikt.no">
			>
		>
	>
description
	original_author = <
		["name"] = <"Bjørn Næss">
		["organisation"] = <"DIPS ASA">
		["email"] = <"bna@dips.no">
		["date"] = <"2015-06-20">
	>
	details = <
		["nb"] = <
			language = <[ISO_639-1::nb]>
			purpose = <"For å ordinere et overordnet, standardisert klinisk forløp for å styre behandlingen av et problem eller en tilstand.">
			use = <"Brukes for å ordinere et overordnet, standardisert klinisk forløp for å styre behandlingen av et problem eller en tilstand.

Denne arketypen er laget for å ordinere gjennomføringen av et overordnet, standardisert klinisk forløp. Eksempler på forløp kan være:
- Kreftpakkeforløp som beskriver milepæler i løpet av en kreftbehandling, blant annet starten på pakkeforløpet, utredning start, utredning ferdig, behandling start, og pakkeforløp slutt.
- Pasientforløp for psykiske lidelser eller rusbehandling, som beskriver milepæler i utredning og behandling av psykiske lidelser eller ruslidelser.
- Standardiserte og overordnede kliniske forløp for alle typer medisinske eller kirurgiske behandlinger, for eksempel allergen immunterapi (AIT) eller elektiv hyperbar oksygenbehandling (HBOT).">
			keywords = <"pasientforløp", "pakkeforløp">
			misuse = <"Skal ikke brukes for å registrere informasjon om hendelser som er utført i løpet av gjennomføring av forløpet. Bruk arketypen ACTION.clinical_pathway for dette formålet.

Skal ikke brukes for å registrere individualiserte protokoller, behandlingplaner eller veiledere. Bruk andre passende arketyper for disse formålene.">
			copyright = <"© Nasjonal IKT HF, openEHR Foundation">
		>
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"To order a high level, standardised clinical pathway to guide the management of a problem or condition.">
			use = <"Use to order a high level, standardised clinical pathway to guide the management of a problem or condition.

This archetype has been designed to support the ordering of high level, standardised clinical pathways to be carried out. Examples include, but are not limited to:
- Cancer care pathways outlining the major events of a cancer treatment, including the start and end of investigation, particularly significant multidisciplinary team (MDT) meetings, or the start of medical, radiation or surgical treatment.
- Mental health and/or addiction care pathways outlining the major milestones of the treatment of mental health and/or addiction conditions.
- Standardised high level pathways for any type of medical or surgical treatment, such as allergen immunotherapy (AIT) or elective hyperbaric oxygen therapy (HBOT).">
			misuse = <"Not to be used to record information about events carried out as part of the execution of the pathway. Use the ACTION.clinical_pathway archetype for this purpose.

Not to be used to record orders for individualised protocols, care plans or guidelines. Use other appropriate archetypes for this purpose.">
			copyright = <"© Nasjonal IKT HF, openEHR Foundation">
		>
	>
	lifecycle_state = <"in_development">
	other_contributors = <>
	other_details = <
		["licence"] = <"This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/.">
		["custodian_organisation"] = <"Nasjonal IKT">
		["references"] = <"Ordinering av klinisk forløp, arketypeutkast [Internet]. openEHR Foundation, OpenEHR International Clinical Knowledge Manager [sitert: 2024-04-25]. Hentet fra: https://ckm.openehr.org/ckm/archetypes/1013.1.7253">
		["current_contact"] = <"Bjørn Næss, DIPS ASA<bna@dips.no>">
		["original_namespace"] = <"no.nasjonalikt">
		["original_publisher"] = <"Nasjonal IKT">
		["custodian_namespace"] = <"no.nasjonalikt">
		["MD5-CAM-1.0.1"] = <"3097088E0BEB4781A1B26CB179543A86">
		["build_uid"] = <"d0035bf9-5e15-433c-89c3-9a6d95b49520">
		["revision"] = <"0.0.1-alpha">
	>

definition
	INSTRUCTION[at0000] matches {    -- Clinical pathway order
		activities cardinality matches {0..*; unordered} matches {
			ACTIVITY[at0001] occurrences matches {0..1} matches {    -- Current Activity
				description matches {
					ITEM_TREE[at0002] matches {    -- Tree
						items cardinality matches {0..*; unordered} matches {
							ELEMENT[at0003] occurrences matches {0..1} matches {    -- Pathway name
								value matches {
									DV_TEXT matches {*}
								}
							}
							ELEMENT[at0012] occurrences matches {0..1} matches {    -- Specific pathway
								value matches {
									DV_TEXT matches {*}
								}
							}
							ELEMENT[at0005] occurrences matches {0..1} matches {    -- Description
								value matches {
									DV_TEXT matches {*}
								}
							}
							ELEMENT[at0013] occurrences matches {0..1} matches {    -- Planned start date/time
								value matches {
									DV_DATE_TIME matches {*}
								}
							}
							ELEMENT[at0011] occurrences matches {0..1} matches {    -- Externally initiated?
								value matches {
									DV_BOOLEAN matches {
										value matches {true}
									}
								}
							}
							ELEMENT[at0004] occurrences matches {0..1} matches {    -- Initial start date/time
								value matches {
									DV_DATE_TIME matches {*}
								}
							}
							allow_archetype CLUSTER[at0006] occurrences matches {0..*} matches {    -- Additional details
							}
							ELEMENT[at0014] occurrences matches {0..1} matches {    -- Comment
								value matches {
									DV_TEXT matches {*}
								}
							}
						}
					}
				}
				action_archetype_id matches {/openEHR-EHR-ACTION\.clinical_pathway(-[a-zA-Z0-9_]+)*\.v0|openEHR-EHR-ACTION\.clinical_pathway(-[a-zA-Z0-9_]+)*\.v1/}
			}
		}
		protocol matches {
			ITEM_TREE[at0007] matches {    -- Tree
				items cardinality matches {0..*; unordered} matches {
					allow_archetype CLUSTER[at0009] occurrences matches {0..*} matches {    -- Initiating organisation
						include
							archetype_id/value matches {/openEHR-EHR-CLUSTER\.organisation(-[a-zA-Z0-9_]+)*\.v1/}
					}
					allow_archetype CLUSTER[at0010] occurrences matches {0..*} matches {    -- Extension
						include
							archetype_id/value matches {/.*/}
					}
				}
			}
		}
	}

ontology
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"Clinical pathway order">
					description = <"Order for a high level, standardised clinical pathway to guide the management of a problem or condition.">
				>
				["at0001"] = <
					text = <"Current Activity">
					description = <"Current Activity">
				>
				["at0002"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0003"] = <
					text = <"Pathway name">
					description = <"The name of the clinical pathway.">
				>
				["at0004"] = <
					text = <"Initial start date/time">
					description = <"The start date and time of the pathway within an alternative organisation or health record.">
					comment = <"Some pathways may have started before and outside of the current healthcare provider organisation and/or health record.">
				>
				["at0005"] = <
					text = <"Description">
					description = <"Narrative description of the clinical pathway.">
				>
				["at0006"] = <
					text = <"Additional details">
					description = <"Additional structured details about the clinical pathway.">
				>
				["at0007"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0009"] = <
					text = <"Initiating organisation">
					description = <"Details about the healthcare provider or organisation responsible for originally initiating the clinical pathway.">
					comment = <"Most of the time this will be the author of the composition, but some clinical pathways have started outside of the current healthcare provider. ">
				>
				["at0010"] = <
					text = <"Extension">
					description = <"Additional information required to capture local content or to align with other reference models/formalisms.">
				>
				["at0011"] = <
					text = <"Externally initiated?">
					description = <"Was the clinical pathway initiated within an alternative organisation or health record?">
				>
				["at0012"] = <
					text = <"Specific pathway">
					description = <"Use to define a more specific definition of the clinical pathway.">
					comment = <"For example, a pathway for a specific cancer type, where the 'Pathway name' is \"Cancer pathway\".">
				>
				["at0013"] = <
					text = <"Planned start date/time">
					description = <"">
				>
				["at0014"] = <
					text = <"Comment">
					description = <"Additional narrative about the pathway order not captured in other fields.">
				>
			>
		>
		["nb"] = <
			items = <
				["at0000"] = <
					text = <"Ordinering av klinisk forløp">
					description = <"Ordinering av et overordnet, standardisert klinisk forløp for å styre behandlingen av et problem eller en tilstand.">
				>
				["at0001"] = <
					text = <"Nåværende aktivitet">
					description = <"Nåværende aktivitet">
				>
				["at0002"] = <
					text = <"Tre">
					description = <"*@ internal @(en)">
				>
				["at0003"] = <
					text = <"Forløp">
					description = <"Navnet på det kliniske forløpet.">
				>
				["at0004"] = <
					text = <"Opprinnelig startdato">
					description = <"Dato/tid for den opprinnelige oppstarten av forløpet, i en annen organisasjon eller pasientjournal.">
					comment = <"Noen forløp kan ha startet tidligere, og utenfor den aktuelle helsetjenestetilbyderen og/eller pasientjournalen.">
				>
				["at0005"] = <
					text = <"Beskrivelse">
					description = <"Fritekstbeskrivelse av det kliniske forløpet.">
				>
				["at0006"] = <
					text = <"Ytterligere detaljer">
					description = <"Ytterligere strukturerte detaljer om det kliniske forløpet.">
				>
				["at0007"] = <
					text = <"Tre">
					description = <"*@ internal @(en)">
				>
				["at0009"] = <
					text = <"Opprinnelig organisasjon">
					description = <"Detaljer om helsetjenestetilbyderen eller organisasjonen som opprinnelig startet det kliniske forløpet.">
					comment = <"I de fleste tilfeller er dette forfatteren av komposisjonene, men noen kliniske forløp vil ha startet tidligere og utenfor den aktuelle helsetjenestetilbyderen.">
				>
				["at0010"] = <
					text = <"Utvidelse">
					description = <"Tilleggsinformasjon for å registrere lokalt innhold om bestillingen.">
				>
				["at0011"] = <
					text = <"Ekstern start?">
					description = <"Ble det kliniske forløpet startet i en annen organisasjon eller pasientjournal?">
				>
				["at0012"] = <
					text = <"Spesifikt forløp">
					description = <"Brukes for å angi et mer spesifikt forløp.">
					comment = <"For eksempel et forløp for en spesifikk krefttype, der \"Forløp\" er satt til \"Kreftpakkeforløp\".">
				>
				["at0013"] = <
					text = <"Planlagt dato/tid for oppstart">
					description = <"Dato/tid da forløpet er planlagt å startes.">
				>
				["at0014"] = <
					text = <"Kommentar">
					description = <"Ytterligere fritekst om forløpsordineringen som ikke fanges opp i andre dataelementer.">
				>
			>
		>
	>