While working with openEHR at Karolinska University Hospital in Stockholm, we have discussed which Composition archetype would be most suitable for documenting meetings where the patient is not present. For example, this may involve multidisciplinary conferences where clinicians with different specialties discuss the patient’s continued treatment or meetings in psychiatry where, for example, clinicians and social workers meet to discuss the patient.
We believe that the Encounter archetype is not suitable as it assumes that the patient has been involved.
Would one of the following archetypes be appropriate?
- Review archetype Composition Archetype: Review [openEHR Clinical Knowledge Manager]
- Clinical investigation report archetype https://ckm.openehr.org/ckm/archetypes/1013.1.6386