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The openEHR Reference Model defines 6 kinds of Entry. Five of these are found in the openEHR EHR Information Model, and are illustrated below.
Detailed UML
| - OBSERVATION - for recording information from the patient's world - anything measured by a clinician, a laboratory or by them, or reported by the patient as a symptom, event or concern
- EVALUATION - for recording opinions and summary statements (usually clinical), such as problems, diagnoses, risk assessments, goals etc that are generally based on Observation evidence
- INSTRUCTION - for recording orders, prescriptions, directives and any other requested interventions
- ACTION - for recording actions, which may be due to Instructions, e.g. drug administrations, procedures etc.
- ADMIN_ENTRY - for recording administrative events, e.g. admission, discharge, consent etc
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