ID

23587

Descrição

Derived from www.openehr.org . Use to record details about fluids ingested and/or administered. This archetype is intended to be used to mirror current clinical practice with fluid input recorded in orders and in fluid balance charts. In a clinical system business rules can support automation of orders involving fluid input using this archetype to prevent the need for clinicians to duplicate data entry. This archetype will also be the basis for all monitored fluid intake, including ordered fluids and ad hoc consumption. This archetype will used to record details about: - each single fluid ingested or administered, for example each individual cup of tea or glass of water; or - the total fluid input of a fluid over a specified period of time, for example the total amount of 0.9% NaCl administered over an 8 hour nursing shift. Each fluid measurement should be recorded using a separate instance of this archetype. The details recorded using this fluid input archetype may inform fluid balance calculations. A fluid balance chart will typically require a combination of multiple instances of this archetype and multiple instances of OBSERVATION.fluid_output archetype to capture all of the various inputs and outputs, plus a single instance of the OBSERVATION.fluid_balance to record the overall fluid status.

Link

www.openehr.org

Palavras-chave

Versões (2)

1. 09/07/2017 09/07/2017 - Martin Dugas
2. 09/07/2017 09/07/2017 - Martin Dugas

Transferido a

9 de julho de 2017

DOI

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Licença