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RM Class

Attribute

Description

Lab request/referral & results/report

Medication Order

Encounter

ENTRY

workflow ID

Unique logical identifier for the running process instance, which may be executed in the real world or within a messaging environment, or within a workflow management system.

This is usually a system generated identifier (e.g. openEHR system such as OceanEHR assigning the identifier within a 'Workflow Object' to an Instruction, or an instance ID assigned by an external workflow engine, or the placer ID in a messaging scenario).

Usually the Placer ID (Filler ID may also be used)

Prescription number (if from an ordering system), or a Job number (if from a dispensing system).

Encounter ID

Referral and Report content

  • Referrer sends referral with INSTRUCTION + ACTION (on the request)
  • Filler sends tracker INSTRUCTION + ACTION
  • Filler sends report with OBSERVATION + ACTION
    • +/- changed INSTRUCTION OR
    • +/- original INSTRUCTION via "Citation" cluster archetype that contains the following 3 elements:
      1. Citation (DV_PARSABLE)
      2. URI to original data (DV_URI) - in this case EHR_URI to the original INSTRUCTION in the referral composition.
      3. Comment (DV_TEXT)
  • Order tracker receives INSTRUCTION and ACTION.  This covers the manual entry of the INSTRUCTION.

Change requests

  1. Change the 'workflow ID' ENTRY attribute definition in the openEHR IM specification.
  2. Add 'version ID' as part of the workflow ID in situations where the process/workflow has been modified???