ARCHETYPE Pharmacist medication review (openEHR-EHR-EVALUATION.pharmacy_meds_review.v1)

ARCHETYPE IDopenEHR-EHR-EVALUATION.pharmacy_meds_review.v1
ConceptPharmacist medication review
DescriptionDetails of review of the current medication list by a pharmacist.
PurposeDetails of review of the current medication list by a pharmacist.
References
Copyright© Clinical Models UK
AuthorsAuthor name: Ian McNicoll
Organisation: HANDIHealth,UK
Email: ian@handihealth.org
Date originally authored: 2015-03-18
Other Details LanguageAuthor name: Ian McNicoll
Organisation: HANDIHealth,UK
Email: ian@handihealth.org
Date originally authored: 2015-03-18
OtherDetails Language Independent{MD5-CAM-1.0.1=F46DDDC12D56C41C95912665BBA940A9}
Keywordspharrmacist, Medication, safety
LifecycleAuthorDraft
Language useden
Citeable Identifier1051.32.294
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  • Slovenian: Anze Droljc, Marand, Slovenia

  • , subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={state=[], content=[], capabilities=[], relationships=[], activities=[], events=[], contacts=[], description=[], target=[], context=[], identities=[], protocol=[], other_participations=[], items=[], details=[], provider=[], source=[], ism_transition=[], data=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0052], code=at0052, itemType=ELEMENT, level=2, text=Medication list category, description=The category of medication list which is being reviewed., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
    • Admission [A list of medication at admission is being reviewed.]
    • Inpatient [The list of current inpatient medicaitons is being reviewed.]
    • Outpatient [The list of current outpatient medications is being reviewed..]
    • Discharge [The list of discharge / transfer of care medications is being reviewed.]
    • Short-term leave [Short-term leave medication list.]
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0002], code=at0002, itemType=CLUSTER, level=2, text=Medication item assessment, description=Details of a pharmacy assessment for a sngle medicaion item., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0002]/items[at0004], code=at0004, itemType=ELEMENT, level=3, text=Related medication item, description=A link to the original medication item., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_EHR_URI, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0002]/items[at0003], code=at0003, itemType=ELEMENT, level=3, text=No problem identified, description=True if any problem ,issue or error was identified for the medication., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=Allowed values: {true}, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0002]/items[at0064], code=at0064, itemType=ELEMENT, level=3, text=Overall recommendation, description=An overall recommendation., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0002]/items[at0007], code=at0007, itemType=CLUSTER, level=3, text=Drug-related problem, description=Details of a drug-related problem., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0002]/items[at0007]/items[at0008], code=at0008, itemType=ELEMENT, level=4, text=Category, description=The category of drug-related problem., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
    • No indication for drug therapy [There does not appear to be an indication for the medication.]
    • No drug order for medical condition [????]
    • Inappropriate drug selection [An inappropriate drug appears to have been ordered.]
    • Inappropriate dose amount [The dose amount is inappropriate for the medication item.]
    • Inappropriate dose frequency [The dose frequency of the medicaiton item is inappropriate.]
    • Inappropriate route [The route of the medication administration appears to be inappropriate.]
    • Inappropriate rate [The rate of medication administration apperars to be inappropriate.]
    • Prescribed drug not administered [The medication appears to have been ordered but never administered.]
    • Experiencing ADRs or SEs [The patient is experiencing adverse drug reactions or side-effects.]
    • Experiencing drug interactions [The patient is experiencing the sequelae of drug interactions.]
    • Deviation from policy / protocol [The medication order deviates from prescribing policy or protocol.]
    • Administered via inappropriate route [The medication was adiministered by an inappropriate route.]
    • Allergies and hypersensitivities [The patient has had allergies and hypersensitivities.]
    • Food-drug interaction (actual or potential) [There is evidence of, or potential risk of a food-drug interaction (actual or potential).]
    • Lab result-drug interaction [There is evidence of, or potential risk o,f a lab result-drug interaction.]
    • Disease-drug interaction [There is evidence of, or potential risk of, a disease-drug interaction.]
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0002]/items[at0007]/items[at0009], code=at0009, itemType=ELEMENT, level=4, text=Outcome, description=The expected outcome of the suggested intervention., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
    • Cost savings only [The recommendation is likely to lead to cost-savings only.]
    • Potential ADR / toxicity prevented [The recommendation is expected to prevent an adverse drug reaction or patient toxicity.]
    • Enhanced therapeutic effect [The recommendation is likely to result in an enhanced therapeutic effect.]
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0002]/items[at0007]/items[at0011], code=at0011, itemType=ELEMENT, level=4, text=Impact, description=The impact of the recommendation on the patient's health., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
    • Potentially severe / high clinical significance [The issue has a highly significant impact on the patient's health.]
    • Important / moderate clinical significance [The issue has a moderately significant impact on the patient's health.]
    • Minor / low clinical significance [The issue has a low impact on the patient's health.]
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0002]/items[at0007]/items[at0010], code=at0010, itemType=ELEMENT, level=4, text=Recommendation, description=A narrative description of the recommended action., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0002]/items[at0029], code=at0029, itemType=CLUSTER, level=3, text=Pharmacokinetic issue, description=Details of a pharmaco-kinetic issue., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0002]/items[at0029]/items[at0030], code=at0030, itemType=ELEMENT, level=4, text=Category, description=The category of pharmacokinetic issue., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
    • Loading dose [An issue was identified with the loading dose.]
    • Maintenance dose [An issue was identified with the maintenance dose.]
    • Inappropriate dosage [The dosage was inapproopriate.]
    • Experiencing ADRs or SEs [The patient is experiencing adverse drug reactiions or side effects.]
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0002]/items[at0007]/items[at0009], code=at0009, itemType=ELEMENT, level=4, text=Outcome, description=The expected outcome of the suggested intervention., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
    • Cost savings only [The recommendation is likely to lead to cost-savings only.]
    • Potential ADR / toxicity prevented [The recommendation is expected to prevent an adverse drug reaction or patient toxicity.]
    • Enhanced therapeutic effect [The recommendation is likely to result in an enhanced therapeutic effect.]
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0002]/items[at0007]/items[at0011], code=at0011, itemType=ELEMENT, level=4, text=Impact, description=The impact of the recommendation on the patient's health., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
    • Potentially severe / high clinical significance [The issue has a highly significant impact on the patient's health.]
    • Important / moderate clinical significance [The issue has a moderately significant impact on the patient's health.]
    • Minor / low clinical significance [The issue has a low impact on the patient's health.]
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0002]/items[at0007]/items[at0010], code=at0010, itemType=ELEMENT, level=4, text=Recommendation, description=A narrative description of the recommended action., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0002]/items[at0038], code=at0038, itemType=CLUSTER, level=3, text=Patient related problem, description=Details of a problem related to patient factors., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0002]/items[at0038]/items[at0039], code=at0039, itemType=ELEMENT, level=4, text=Category, description=The category of problem related to patient factors., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
    • Adherence issue [The patient is thought not be adheriing to the medication regime.]
    • Patient counselling required [The patient appears to require counselling on the use of the medication.]
    • Education material required [The patient appears to require educational material related to medication use.]
    • Experiencing ADRs or SEs [The patient appears to be suffering adverse drug reactions or side effects.]
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0002]/items[at0007]/items[at0009], code=at0009, itemType=ELEMENT, level=4, text=Outcome, description=The expected outcome of the suggested intervention., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
    • Cost savings only [The recommendation is likely to lead to cost-savings only.]
    • Potential ADR / toxicity prevented [The recommendation is expected to prevent an adverse drug reaction or patient toxicity.]
    • Enhanced therapeutic effect [The recommendation is likely to result in an enhanced therapeutic effect.]
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0002]/items[at0007]/items[at0011], code=at0011, itemType=ELEMENT, level=4, text=Impact, description=The impact of the recommendation on the patient's health., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
    • Potentially severe / high clinical significance [The issue has a highly significant impact on the patient's health.]
    • Important / moderate clinical significance [The issue has a moderately significant impact on the patient's health.]
    • Minor / low clinical significance [The issue has a low impact on the patient's health.]
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0002]/items[at0007]/items[at0010], code=at0010, itemType=ELEMENT, level=4, text=Recommendation, description=A narrative description of the recommended action., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], credentials=[]}, topLevelItems={data=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0001], code=at0001, itemType=ITEM_TREE, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=data, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0052], code=at0052, itemType=ELEMENT, level=2, text=Medication list category, description=The category of medication list which is being reviewed., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
    • Admission [A list of medication at admission is being reviewed.]
    • Inpatient [The list of current inpatient medicaitons is being reviewed.]
    • Outpatient [The list of current outpatient medications is being reviewed..]
    • Discharge [The list of discharge / transfer of care medications is being reviewed.]
    • Short-term leave [Short-term leave medication list.]
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0002], code=at0002, itemType=CLUSTER, level=2, text=Medication item assessment, description=Details of a pharmacy assessment for a sngle medicaion item., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0002]/items[at0004], code=at0004, itemType=ELEMENT, level=3, text=Related medication item, description=A link to the original medication item., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_EHR_URI, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0002]/items[at0003], code=at0003, itemType=ELEMENT, level=3, text=No problem identified, description=True if any problem ,issue or error was identified for the medication., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=Allowed values: {true}, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0002]/items[at0064], code=at0064, itemType=ELEMENT, level=3, text=Overall recommendation, description=An overall recommendation., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0002]/items[at0007], code=at0007, itemType=CLUSTER, level=3, text=Drug-related problem, description=Details of a drug-related problem., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0002]/items[at0007]/items[at0008], code=at0008, itemType=ELEMENT, level=4, text=Category, description=The category of drug-related problem., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
    • No indication for drug therapy [There does not appear to be an indication for the medication.]
    • No drug order for medical condition [????]
    • Inappropriate drug selection [An inappropriate drug appears to have been ordered.]
    • Inappropriate dose amount [The dose amount is inappropriate for the medication item.]
    • Inappropriate dose frequency [The dose frequency of the medicaiton item is inappropriate.]
    • Inappropriate route [The route of the medication administration appears to be inappropriate.]
    • Inappropriate rate [The rate of medication administration apperars to be inappropriate.]
    • Prescribed drug not administered [The medication appears to have been ordered but never administered.]
    • Experiencing ADRs or SEs [The patient is experiencing adverse drug reactions or side-effects.]
    • Experiencing drug interactions [The patient is experiencing the sequelae of drug interactions.]
    • Deviation from policy / protocol [The medication order deviates from prescribing policy or protocol.]
    • Administered via inappropriate route [The medication was adiministered by an inappropriate route.]
    • Allergies and hypersensitivities [The patient has had allergies and hypersensitivities.]
    • Food-drug interaction (actual or potential) [There is evidence of, or potential risk of a food-drug interaction (actual or potential).]
    • Lab result-drug interaction [There is evidence of, or potential risk o,f a lab result-drug interaction.]
    • Disease-drug interaction [There is evidence of, or potential risk of, a disease-drug interaction.]
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0002]/items[at0007]/items[at0009], code=at0009, itemType=ELEMENT, level=4, text=Outcome, description=The expected outcome of the suggested intervention., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
    • Cost savings only [The recommendation is likely to lead to cost-savings only.]
    • Potential ADR / toxicity prevented [The recommendation is expected to prevent an adverse drug reaction or patient toxicity.]
    • Enhanced therapeutic effect [The recommendation is likely to result in an enhanced therapeutic effect.]
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0002]/items[at0007]/items[at0011], code=at0011, itemType=ELEMENT, level=4, text=Impact, description=The impact of the recommendation on the patient's health., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
    • Potentially severe / high clinical significance [The issue has a highly significant impact on the patient's health.]
    • Important / moderate clinical significance [The issue has a moderately significant impact on the patient's health.]
    • Minor / low clinical significance [The issue has a low impact on the patient's health.]
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0002]/items[at0007]/items[at0010], code=at0010, itemType=ELEMENT, level=4, text=Recommendation, description=A narrative description of the recommended action., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0002]/items[at0029], code=at0029, itemType=CLUSTER, level=3, text=Pharmacokinetic issue, description=Details of a pharmaco-kinetic issue., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0002]/items[at0029]/items[at0030], code=at0030, itemType=ELEMENT, level=4, text=Category, description=The category of pharmacokinetic issue., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
    • Loading dose [An issue was identified with the loading dose.]
    • Maintenance dose [An issue was identified with the maintenance dose.]
    • Inappropriate dosage [The dosage was inapproopriate.]
    • Experiencing ADRs or SEs [The patient is experiencing adverse drug reactiions or side effects.]
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0002]/items[at0007]/items[at0009], code=at0009, itemType=ELEMENT, level=4, text=Outcome, description=The expected outcome of the suggested intervention., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
    • Cost savings only [The recommendation is likely to lead to cost-savings only.]
    • Potential ADR / toxicity prevented [The recommendation is expected to prevent an adverse drug reaction or patient toxicity.]
    • Enhanced therapeutic effect [The recommendation is likely to result in an enhanced therapeutic effect.]
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0002]/items[at0007]/items[at0011], code=at0011, itemType=ELEMENT, level=4, text=Impact, description=The impact of the recommendation on the patient's health., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
    • Potentially severe / high clinical significance [The issue has a highly significant impact on the patient's health.]
    • Important / moderate clinical significance [The issue has a moderately significant impact on the patient's health.]
    • Minor / low clinical significance [The issue has a low impact on the patient's health.]
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    • Adherence issue [The patient is thought not be adheriing to the medication regime.]
    • Patient counselling required [The patient appears to require counselling on the use of the medication.]
    • Education material required [The patient appears to require educational material related to medication use.]
    • Experiencing ADRs or SEs [The patient appears to be suffering adverse drug reactions or side effects.]
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0002]/items[at0007]/items[at0009], code=at0009, itemType=ELEMENT, level=4, text=Outcome, description=The expected outcome of the suggested intervention., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
    • Cost savings only [The recommendation is likely to lead to cost-savings only.]
    • Potential ADR / toxicity prevented [The recommendation is expected to prevent an adverse drug reaction or patient toxicity.]
    • Enhanced therapeutic effect [The recommendation is likely to result in an enhanced therapeutic effect.]
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0002]/items[at0007]/items[at0011], code=at0011, itemType=ELEMENT, level=4, text=Impact, description=The impact of the recommendation on the patient's health., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
    • Potentially severe / high clinical significance [The issue has a highly significant impact on the patient's health.]
    • Important / moderate clinical significance [The issue has a moderately significant impact on the patient's health.]
    • Minor / low clinical significance [The issue has a low impact on the patient's health.]
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