| ARCHETYPE ID | openEHR-EHR-SECTION.medication_medical_devices_rcp.v1 |
| Concept | Medication and medical devices |
| Description | Medication and medical devices heading (AoMRC). |
| Purpose | To organise Medication and medical devices details within a standardised record heading as recommended by the UK Academy of Royal Colleges (AoMRC). Suggested 'subheading' content includes ... Medication name: May be generic name or brand name (as appropriate). Medication form: Eg capsule, drops, tablet, lotion etc. Route: (intravenous), etc): may include method of administration, (eg, by infusion, via nebuliser, via NG (nasogastric) tube) and/or site of use (eg, ‘to wound’, 'to left eye', etc). Dose: This is a record of the total amount of the active ingredient(s) to be given at each administration. It should include, eg, units of measurement, number of tablets, volume/concentration of liquid, number of drops, etc. Medication frequency: Frequency of taking or administration of the therapeutic agent or medication. Additional instructions: Allows for: * requirements for adherence support, eg, compliance aids, prompts and packaging requirements * additional information about specific medicines, eg where specific brand required * patient requirements, eg, unable to swallow tablets. Do not discontinue warning: To be used on a case-by-case basis if it is vital not to discontinue a medicine in a specific patient scenario. Reason for medication: Reason for medication being prescribed, where known. Medication recommendations: Suggestions about duration and/or review, ongoing monitoring requirements, advice on starting, discontinuing or changing medication. Medication change: Where a change is made to the medication, ie one drug stopped and another started or, eg, dose, frequency or route is changed. Reason for medication change: Reason for change in medication, eg sub-therapeutic dose, patient intolerant. Medicine administered: Record of administration to the patient, including self-administration. Reason for non-administration: Reason why drug not administered, (eg, patient refused, patient unavailable, drug not available). Relevant previous medications: Record of relevant previous medications. Medical devices: Record of dietary supplements, dressings and equipment that the patient is currently taking or using. |
| References | Health and Social Care Information Centre, Academy of Medical Royal Colleges (2013) Standards for the Clinical Structure and Content of Patient Records. HSCIC, Leeds. Available from: https://www.rcplondon.ac.uk/sites/default/files/standards-for-the-clinical-structure-and-content-of-patient-records.pdf [Accessed July 22, 2014] |
| Copyright | © Clinical Models UK |
| Authors | Author name: Ian McNicoll Organisation: Ocean Informatics UK Email: ian.mcnicoll@oceaninformatics.com Date originally authored: 2014-06-08 |
| Other Details Language | Author name: Ian McNicoll Organisation: Ocean Informatics UK Email: ian.mcnicoll@oceaninformatics.com Date originally authored: 2014-06-08 |
| OtherDetails Language Independent | {references=Health and Social Care Information Centre, Academy of Medical Royal Colleges (2013) Standards for the Clinical Structure and Content of Patient Records. HSCIC, Leeds. Available from: https://www.rcplondon.ac.uk/sites/default/files/standards-for-the-clinical-structure-and-content-of-patient-records.pdf [Accessed July 22, 2014], MD5-CAM-1.0.1=BA8A4CAF4F969BDC67687A8EF75D3523} |
| Keywords | |
| Lifecycle | AuthorDraft |
| Language used | en |
| Citeable Identifier | 1051.32.252 |
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