...
| Expand | ||
|---|---|---|
| ||
A COMPOSITION is a container class of archetype. It is commonly used to represent clinical documents, forms or messages in the EHR. In practical terms archetype classes containing detailed clinical content is added to a COMPOSITION in the same way that paragraphs of content are added to a paper document. Each COMPOSITION archetype has a purpose or intent specified and is comparable to the way that in traditional paper records each section of the health record is identified by a different colored ribbon to assist clinician to find specific types of documents, such as a blue ribbon for Medication Orders and green for Consultation/Progress notes. It is the unit of contribution (and therefore committal and communication) to an electronic health record (EHR). Remember: "You cannot save less than a Composition” All openEHR data is transferred between EHRs as Compositions. A COMPOSITION can contain SECTION and ENTRY archetypes (OBSERVATIONs, EVALUATIONs, INSTRUCTIONs, ACTIONs and ADMIN ENTRYs). Examples: Consultation note, ; Prescription, ; Care Plan, ; and Medication List |
| Expand | ||
|---|---|---|
| ||
A SECTION is a navigation an organising class of archetype. It has no inherent semantic meaning but used to standardise the organisation of information within a COMPOSITION or another SECTION. In practical terms it is used to support assist with human navigation, primarily for:
A SECTION carries no semantic meaning in itself. Examples: SOAP (Subjective, Objective, Assessment, Plan); Vital signs; and Ad hoc heading. |
| Expand | ||
|---|---|---|
| ||
| Expand | ||
|---|---|---|
| ||
...