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There is a rich context model in openEHR (see specifications). Timing is part of this and is summarised below with some sample use cases. Other times must be explicitly archetyped.

RM Class

Attribute

Description

Lab result

Encounter

Consultant report

CONTRIBUTION

time

Time composition(s) were
added to this system. Equals
COMPOSITION commit time
with locally authored
compositions

Report received locally

Record received locally

Report received locally

COMPOSITION

Commit time (mandatory)

Time composition is saved
in original system

Report issued

Note recorded

Report issued

(Event related
compositions)

EVENT CONTEXT.Start time
(mandatory)

The time (or start time)
of the event or process

Report created/recorded

Patient encounter begins

Report created/recorded (may relate
to patient encounter if done at time
of seeing patient)

 

EVENT CONTEXT.End time
(optional)

End time of the event or
process

Not usually recorded

End time of the
encounter

Not usually recorded unless at the
same time as an encounter

PARTICIPATION

Start time/End time

The time that a person
took a role that has been
recorded

Duration of other
participants' functions

Duration of other
participants' functions

Duration of other
participants' functions

ATTESTATION

Time

The time this COMPOSITION
or part thereof was signed

Time of clinician or
technician signing the
report or any part
thereof

Time of signing the
encounter note or any
part thereof

Time of signing the encounter note
or any part thereof

OBSERVATION

EVENT.Start time

The clinically relevant time
of the observation

Time the sample was
collected

Time of the observation

Time of the observation

ACTION

Time

The time of this action
(start time)

Time of the action

Time of this action

Time of this action