Table 2. Set of clinical archetypes for EHR reuse.
Archetype | Description | Terminology binding |
---|---|---|
Patient | Demographics data, e.g., birthdate, sex, and vital status. | SNOMED CT |
Encounter | Data related to inpatient, emergency, and outpatient visits. | SNOMED CT |
Location | Patient locations during hospitalization, e.g., ICU admission. | SNOMED CT |
Observation | Clinical, laboratory, and patient-reported observations. | SNOMED CT, LOINC |
Diagnosis | Health issues and clinical diagnoses. | SNOMED CT |
Medication | Pharmacological treatment prescribed. | SNOMED CT |
Procedure | Procedures performed, e.g., surgeries and nursing interventions. | SNOMED CT |
Abbreviations: EHR, electronic health record; ICU, intensive care unit.