| All | OperationalTemplate [rootArchetypeId=openEHR-EHR-COMPOSITION.encounter.v1, otherContributors=null, tshis=[ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1], code=at0000, itemType=COMPOSITION, level=0, text=Klinisk kontakt, description=Interaksjon, kontakt eller omsorgshendelse mellom et individ og helsepersonell., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=COMPOSITION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-OBSERVATION.progress_note.v1], code=at0000, itemType=OBSERVATION, level=1, text=Notat smerteteam, description=Fritekstbeskrivelse av et individs helserelaterte hendelser på et spesifikt tidspunkt, sett fra helsepersonellets synsvinkel., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Valgfritt, gjentagende, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-OBSERVATION.progress_note.v1]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-OBSERVATION.progress_note.v1]/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=3, text=Uspesifisert hendelse, description=Standard, uspesifisert tidspunkt eller tidsintervall som kan defineres mer eksplisitt i en template eller i en applikasjon., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Valgfritt, gjentagende, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-OBSERVATION.progress_note.v1]/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-OBSERVATION.progress_note.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=5, text=Notat, description=Fritekstbeskrivelse av helserelaterte hendelser, status, funn eller oppfatninger på et spesifikt tidspunkt., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-EVALUATION.beh_tilsyn_smerteregisteret.v0], code=at0000, itemType=EVALUATION, level=1, text=Behandling og tilsyn Smerteregisteret, description=Beh_tilsyn_smerteregisteret, comment=null, uncommonOntologyItems=null, occurencesFormal=1..*, occurencesText=Obligatorisk, gjentagende, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-EVALUATION.beh_tilsyn_smerteregisteret.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-EVALUATION.beh_tilsyn_smerteregisteret.v0]/data[at0001]/items[at0027], code=at0027, itemType=CLUSTER, level=3, text=1. Smertebehandling initiert og/eller endret av smerteteamet, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Obligatorisk, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-EVALUATION.beh_tilsyn_smerteregisteret.v0]/data[at0001]/items[at0027]/items[at0002], code=at0002, itemType=ELEMENT, level=4, text=1a. Medikamentell behandling, description=Gjelder for all form for medikamentell smertebehandling (iv, sc, po, plaster, PCA, etc). Ved "Ja":
Kryss av én eller flere valgmuligheter
Ved avkrysning av opioid:
Har det oppstått alvorlig respirasjonsdepresjon?
Hva er alvorlig respirasjonsdepresjon? Respirasjon < 8/min, comment=OBS! Skal kun krysses av dersom respirasjonsdepresjon har oppstått etter behandling initiert av Smerteteam. Respirasjonsdepresjon i forkant av behandling initiert av Smerteteam skal ikke registreres her., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Obligatorisk, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-EVALUATION.beh_tilsyn_smerteregisteret.v0]/data[at0001]/items[at0027]/items[at0029], code=at0029, itemType=CLUSTER, level=4, text=Type medikamentell behandling, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-EVALUATION.beh_tilsyn_smerteregisteret.v0]/data[at0001]/items[at0027]/items[at0029]/items[at0036], code=at0036, itemType=ELEMENT, level=5, text=Type medikamentell behandling, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Valgfritt, gjentagende, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- Opioider
- Non-opioider
- Ko-analgetika
- Benzodiazepiner
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-EVALUATION.beh_tilsyn_smerteregisteret.v0]/data[at0001]/items[at0027]/items[at0029]/items[at0034], code=at0034, itemType=ELEMENT, level=5, text=Har det oppstått alvorlig respirasjonsdepresjon pga denne behandlingen?, description=Hva er alvorlig respirasjonsdepresjon? Respirasjon < 8/min, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-EVALUATION.beh_tilsyn_smerteregisteret.v0]/data[at0001]/items[at0027]/items[at0029]/items[at0053], code=at0053, itemType=ELEMENT, level=5, text=Hvilke tiltak er iverksatt?, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Valgfritt, gjentagende, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- Ingen
- Oksygenbehandling
- Motgift
- Forsterket overvåkning
- Intensivbehandling
- Resusitering
- Respiratorbehandling
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-EVALUATION.beh_tilsyn_smerteregisteret.v0]/data[at0001]/items[at0027]/items[at0011], code=at0011, itemType=ELEMENT, level=4, text=1b. Psykososial behandling, description=Samtaler mellom pasient og helsepersonell f.eks lege/sykepleier/psykolog/sosionom fra smerteklinikken eller andre, med hovedvekt på smertemestring. (avspenning, tankereise), endringsfokusert samtale, krisehåndtering, angstreduserende samtale., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Obligatorisk, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-EVALUATION.beh_tilsyn_smerteregisteret.v0]/data[at0001]/items[at0027]/items[at0015], code=at0015, itemType=ELEMENT, level=4, text=1c. Fysioterapibehandling, description=F.eks TENS, massasje, avspenning, aktivering og mobilisering etc initiert eller utført av smerteteamet, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Obligatorisk, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-EVALUATION.beh_tilsyn_smerteregisteret.v0]/data[at0001]/items[at0027]/items[at0019], code=at0019, itemType=ELEMENT, level=4, text=1d. Sentrale blokader, description=F.eks EDA og spinalkateter som brukes kun med formål om smertelindring., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Obligatorisk, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-EVALUATION.beh_tilsyn_smerteregisteret.v0]/data[at0001]/items[at0027]/items[at0035], code=at0035, itemType=CLUSTER, level=4, text=Type sentrale blokader, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-EVALUATION.beh_tilsyn_smerteregisteret.v0]/data[at0001]/items[at0027]/items[at0035]/items[at0041], code=at0041, itemType=ELEMENT, level=5, text=Type sentral blokade, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Valgfritt, gjentagende, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-EVALUATION.beh_tilsyn_smerteregisteret.v0]/data[at0001]/items[at0027]/items[at0035]/items[at0044], code=at0044, itemType=ELEMENT, level=5, text=Medikamenter, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Valgfritt, gjentagende, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- Opioider
- Lokal anestesi
- Ko-analgetika
- Annet
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-EVALUATION.beh_tilsyn_smerteregisteret.v0]/data[at0001]/items[at0027]/items[at0035]/items[at0049], code=at0049, itemType=ELEMENT, level=5, text=Har det oppstått alvorlige komplikasjoner pga denne behandlingen?, description=Gjelder for all form for medikamentell smertebehandling (iv, sc, po, plaster, PCA, etc). Ved "Ja":
Kryss av én eller flere valgmuligheter
Ved avkrysning av opioid:
Har det oppstått alvorlig respirasjonsdepresjon?
Hva er alvorlig respirasjonsdepresjon? Respirasjon < 8/min, comment=OBS! Skal kun krysses av dersom respirasjonsdepresjon har oppstått etter behandling initiert av Smerteteam. Respirasjonsdepresjon i forkant av behandling initiert av Smerteteam skal ikke registreres her., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-EVALUATION.beh_tilsyn_smerteregisteret.v0]/data[at0001]/items[at0027]/items[at0035]/items[at0061], code=at0061, itemType=ELEMENT, level=5, text=Hvilke komplikasjoner?, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Valgfritt, gjentagende, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- Intraspinalt/epiduralt hematom
- Meningitt
- Epidural abscess
- Nerveskader
- Migrering av kateter fra epiduralt til spinalt
- Intravasal injeksjon av lokalanestesi
- Postspinal hodepine
- Falltendens pga lokalanestesi
- Lekkasje av CNF
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-EVALUATION.beh_tilsyn_smerteregisteret.v0]/data[at0001]/items[at0027]/items[at0035]/items[at0071], code=at0071, itemType=ELEMENT, level=5, text=Hvilke tiltak er iverksatt?, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Valgfritt, gjentagende, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- Ingen
- Operasjon
- Antibiotikabehandling
- Fjerning av kateter
- Bloodpatch
- Sengeleie
- Fenazon/koffein
- Endring av medikament
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-EVALUATION.beh_tilsyn_smerteregisteret.v0]/data[at0001]/items[at0027]/items[at0023], code=at0023, itemType=ELEMENT, level=4, text=1e. Perifere blokader, description=I hovedsak via kateter, men kan også være "single shot" perifere blokader som utføres for smertelindring., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Obligatorisk, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-EVALUATION.beh_tilsyn_smerteregisteret.v0]/data[at0001]/items[at0027]/items[at0080], code=at0080, itemType=CLUSTER, level=4, text=Type perifere blokader, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-EVALUATION.beh_tilsyn_smerteregisteret.v0]/data[at0001]/items[at0027]/items[at0080]/items[at0081], code=at0081, itemType=ELEMENT, level=5, text=Type perifer blokade, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Valgfritt, gjentagende, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- Plexus brachialis blokade
- Paravertebral blokade
- Intercostal blokade
- PECS blokade(Pectoral nerve)
- TAP blokade (Transversus abdominis plan)
- Femoral blokade
- Adduktor kanal blokade
- Ischiadicus blokade
- Plexus Lumbalis blokade
- Fascia iliaca compartment blokade
- Serratus plane Block
- Annen blokade
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-EVALUATION.beh_tilsyn_smerteregisteret.v0]/data[at0001]/items[at0027]/items[at0080]/items[at0094], code=at0094, itemType=ELEMENT, level=5, text=Type plexus brachialis-blokade, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Valgfritt, gjentagende, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- Interscalen
- Supraklavikulær
- Infraklavikulær
- Axillær
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-EVALUATION.beh_tilsyn_smerteregisteret.v0]/data[at0001]/items[at0027]/items[at0080]/items[at0099], code=at0099, itemType=ELEMENT, level=5, text=Type PECS-blokade, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Valgfritt, gjentagende, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- Underkategori 1
- Underkategori 2
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-EVALUATION.beh_tilsyn_smerteregisteret.v0]/data[at0001]/items[at0027]/items[at0080]/items[at0102], code=at0102, itemType=ELEMENT, level=5, text=Type ischiadicus-blokade, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Valgfritt, gjentagende, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-EVALUATION.beh_tilsyn_smerteregisteret.v0]/data[at0001]/items[at0027]/items[at0080]/items[at0105], code=at0105, itemType=ELEMENT, level=5, text=Administrasjonsmåte, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Valgfritt, gjentagende, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-EVALUATION.beh_tilsyn_smerteregisteret.v0]/data[at0001]/items[at0027]/items[at0080]/items[at0108], code=at0108, itemType=ELEMENT, level=5, text=Har det oppstått alvorlige komplikasjoner pga denne behandlingen?, description=Gjelder for all form for medikamentell smertebehandling (iv, sc, po, plaster, PCA, etc). Ved "Ja":
Kryss av én eller flere valgmuligheter
Ved avkrysning av opioid:
Har det oppstått alvorlig respirasjonsdepresjon?
Hva er alvorlig respirasjonsdepresjon? Respirasjon < 8/min, comment=OBS! Skal kun krysses av dersom respirasjonsdepresjon har oppstått etter behandling initiert av Smerteteam. Respirasjonsdepresjon i forkant av behandling initiert av Smerteteam skal ikke registreres her., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-EVALUATION.beh_tilsyn_smerteregisteret.v0]/data[at0001]/items[at0027]/items[at0080]/items[at0112], code=at0112, itemType=ELEMENT, level=5, text=Hvilke komplikasjoner?, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Valgfritt, gjentagende, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- Nerveskade
- Infeksjon
- Intravasal injeksjon av lokalanestesi
- Intoksikasjon
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-EVALUATION.beh_tilsyn_smerteregisteret.v0]/data[at0001]/items[at0027]/items[at0080]/items[at0117], code=at0117, itemType=ELEMENT, level=5, text=Hvilke tiltak er iverksatt?, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- Ingen
- Operasjon
- Antibiotikabehandling
- Fjerning av kateter
- Endret medisinering og intensivmedisinske tiltak
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Her oppføres hvem som faktisk har vært involvert i pasientbehandlingen og hvor mye ressurser som ble brukt. Antall tilsyn i denne kategorien kan avvike fra antall tilsyn i spørsmål 3 om antall pasienttilsyn.
Presisering: Dersom både lege/LIS og sykepleier har vært hos pasient på tilsyn, registreres det som et legetilsyn og et sykepleietilsyn i spørsmål 1, dersom en anser det som nødvendig for pasientbehandlingen at begge to er med. En LIS-lege som følger en overlege pga opplæring registrers ikke som ekstra legetilsyn. I spørsmål 3 telles det derimot kun som 1 tilsyn.
Ved vaktromtilsyn skal det ikke registreres tilsyn i spørsmål 3., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Obligatorisk, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-EVALUATION.beh_tilsyn_smerteregisteret.v0]/data[at0001]/items[at0028]/items[at0123], code=at0123, itemType=ELEMENT, level=4, text=Behandler av smertetilstand, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=1..*, occurencesText=Obligatorisk, gjentagende, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- Lege
- Sykepleier
- Fysioterapeut
- Psykolog
- Sosionom
- Ambulerende lege
- Ambulerende sykepleier
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-EVALUATION.beh_tilsyn_smerteregisteret.v0]/data[at0001]/items[at0028]/items[at0131 and name/value='Antall tilsyn lege'], code=at0131, itemType=ELEMENT, level=4, text=Antall tilsyn lege, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=1..100, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-EVALUATION.beh_tilsyn_smerteregisteret.v0]/data[at0001]/items[at0028]/items[at0131 and name/value='Antall tilsyn sykepleier'], code=at0131, itemType=ELEMENT, level=4, text=Antall tilsyn sykepleier, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=1..100, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-EVALUATION.beh_tilsyn_smerteregisteret.v0]/data[at0001]/items[at0028]/items[at0131 and name/value='Antall tilsyn fysioterapeut'], code=at0131, itemType=ELEMENT, level=4, text=Antall tilsyn fysioterapeut, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=1..100, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-EVALUATION.beh_tilsyn_smerteregisteret.v0]/data[at0001]/items[at0028]/items[at0131 and name/value='Antall tilsyn psykolog'], code=at0131, itemType=ELEMENT, level=4, text=Antall tilsyn psykolog, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=1..100, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-EVALUATION.beh_tilsyn_smerteregisteret.v0]/data[at0001]/items[at0028]/items[at0131 and name/value='Antall tilsyn sosionom'], code=at0131, itemType=ELEMENT, level=4, text=Antall tilsyn sosionom, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=1..100, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-EVALUATION.beh_tilsyn_smerteregisteret.v0]/data[at0001]/items[at0028]/items[at0131 and name/value='Antall tilsyn ambulerende lege'], code=at0131, itemType=ELEMENT, level=4, text=Antall tilsyn ambulerende lege, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=1..100, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-EVALUATION.beh_tilsyn_smerteregisteret.v0]/data[at0001]/items[at0028]/items[at0131 and name/value='Antall tilsyn ambulerende sykepleier'], code=at0131, itemType=ELEMENT, level=4, text=Antall tilsyn ambulerende sykepleier, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=1..100, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-EVALUATION.beh_tilsyn_smerteregisteret.v0]/data[at0001]/items[at0028]/items[at0139], code=at0139, itemType=ELEMENT, level=4, text=Antall pasienttilsyn, description=Antall ganger pasienten har møtt personale fra smerteklinikken., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Obligatorisk, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=>=0, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-EVALUATION.beh_tilsyn_smerteregisteret.v0]/data[at0001]/items[at0028]/items[at0141], code=at0141, itemType=ELEMENT, level=4, text=Total tidsbruk, description=Tidsbruk beregnes ut fra ALLE tilsyn fra ALLE involverte behandlere gjennom hele behandlingsforløpet., comment=Et behandlertilsyn regnes som 1 time.
Dette inkluderer:
Tilsyn av pasient
Tidsbruk forbundet med lesing av journal
Kontakt med leg/sykepleier på sengepost
Råd gitt på telefon
Skriving av journalnotat ol., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Obligatorisk, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=PT1M..PT500M Minute, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-EVALUATION.beh_tilsyn_smerteregisteret.v0]/data[at0001]/items[at0149], code=at0149, itemType=ELEMENT, level=3, text=5. Bør pasient følges videre opp for sin smertetilstand etter utskrivelse?, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-EVALUATION.beh_tilsyn_smerteregisteret.v0]/data[at0001]/items[at0151], code=at0151, itemType=ELEMENT, level=3, text=5a. Er det anbefalt videre oppfølging hos fastlege?, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=- 0: Nei
- 1: Ja, formidlet via tilsynsnotat/epikrise
- 2: Kontaktet direkte skriftlig og/eller muntlig
- 3: Usikker
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-EVALUATION.beh_tilsyn_smerteregisteret.v0]/data[at0001]/items[at0152], code=at0152, itemType=ELEMENT, level=3, text=5b. Er det anbefalt videre oppfølging hos annen institusjon, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=- 0: Nei
- 1: Ja, formidlet via tilsynsnotat/epikrise
- 2: Kontaktet direkte skriftlig og/eller muntlig
- 3: Usikker
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-EVALUATION.beh_tilsyn_smerteregisteret.v0]/data[at0001]/items[at0150], code=at0150, itemType=ELEMENT, level=3, text=6. Anbefalt videre oppfølging ved smerteklinikk?, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=, extendedValues=null]], templateType=normal] |