All | Archetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Records details of a medication product, dosage and administration directions, for use within medication recommendation, order, administration and dispensation records., archetypeConceptComment=null, otherContributors=Marcus Baw, openGPSoC / Baw Medical Ltd, United Kingdom (Editor) Steve Bentley, HSCIC, United Kingdom Colin Brown, SCIMP, United Kingdom Richard Cottrell, NHS Ayrshire and Arran, United Kingdom Leo Fogarty, SCIMP/HSCIC, United Kingdom (Editor) RCP Health Informatics Unit, UK Dr John Williams, GP2GP project, UK Dr Leo Fogarty, GP2GP project, UK Heather Leslie, Ocean Informatics, Australia Dawn MacDermid, United Kingdom Ian McNicoll, Ocean Informatics, United Kingdom (Editor) Barry Melia, NHS Lothian, United Kingdom Paul Miller, SCIMP, United Kingdom (Editor) Mike Robinson, INPS, United Kingdom Laura Sato, Health and Social Care Information Centre, United Kingdom Ian Thompson, SCIMP, United Kingdom (Editor) John Williams, GP2GP, United Kingdom (Editor), originalLanguage=en, translators=, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={state=[], content=[], capabilities=[], relationships=[], activities=[], events=[], contacts=[], description=[], target=[], context=[], identities=[], protocol=[], other_participations=[], items=[ResourceSimplifiedHierarchyItem [path=/items[at0001], code=at0001, itemType=ELEMENT, level=1, text=Medication name, description=Mandatory medication name coded using a SNOMED CT/dm+d term where possible, allowing plain text for historical/patient reported items , extemporaneous preparations or those not registered in dm+d., comment=e.g.“Citalopram tab 20mg”, "Trimethoprim", uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
- Text
- Coded Text
Constraint: MedicationName [Any AMP/VMP/VTM/AMPP/VMPP subsets from the dm+d terminology.
NHS dm+d AMP ::352201000001139
NHS dm+d AMPP ::352401000001135
NHS dm+d VMP ::352701000001133
NHS dm+d VMPP ::352301000001131
NHS dm+d VTM ::352601000001138]
Constraint binding:
- [dm+d]
- subset=NHS_dm+d
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0022], code=at0022, itemType=ELEMENT, level=1, text=Form, description=Form of the medicinal substance e.g capsules, tablets, liquid. Not normally required unless a specific form has been requested by the prescriber., comment=e.g. "Modified Release Capsules", uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
- Coded Text
Constraint: DrugDoseForm [SNOMED CT CFH::DoseForm termset.
Any descendant of 421967003 | drug dose form.]
Constraint binding:
- [SNOMED-CT]
- subset=CFH::DoseForm
- Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0002], code=at0002, itemType=ELEMENT, level=1, text=Route, description=Optional medication route, using SNOMED CT terms where possible. Not generally applicable to product-based medication. Should not be used to specify a specific administration site, for which a separate archetype is used e.g. The Route is 'intraocular' the Site may be 'Left eye'., comment=e.g. "Oral", "Intraocular".
Note that this element supports multiple Routes to allow a choce to be specified by the prescriber., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
- Coded Text
Constraint: NHS e-Prescribing route of administration subset [Id : 413001000001136
Original Id : 30201000001137
This is an extract from the SUBSET
-BiAnnual-Drug-15.0.1-20130401: SnomedCT_GB1000001_20130401/Subsets/EPrescribing/NHS e-Prescribing route of administration subset]
Constraint binding:
- [SNOMED-CT]
- subset=NHS e-Prescribing route of administration subset
- Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0029], code=at0029, itemType=ELEMENT, level=1, text=Site, description=The anatomical site at which the medication is to be administered., comment=e.g. "Left eye", uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
- Coded Text
Constraint: SiteOfMedicationAdministration [Any valid site for the administration of a medication.]
Constraint binding:
- [SNOMED-CT]
- subset=MedicationAdministrationSite
- Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0030], code=at0030, itemType=ELEMENT, level=1, text=Method, description=The technique or method by which the medication is to be administered., 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=/items[at0003], code=at0003, itemType=ELEMENT, level=1, text=Dose directions description, description=A single plain text phrase describing the entire medication dosage and administration directions, including dose quantity and medication frequency., comment=e.g. “I tablet at night” or “20mg at 10pm”
This is the form of dosage direction text normally available from UK GP systems., 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=/items[at0020], code=at0020, itemType=ELEMENT, level=1, text=Dose amount description, description=A plain text description of medication single dose amount, as described in the AoMRC medication headings., comment=e.g. "30 mg" or "2 tabs".
UK Secondary care clinicians and systems normally minimally structure their dose directions, separating Dose amount and Dose timing (often referred to as Dose and Frequency). This format is not normally used in GP systems, which will always import Dose and Frequency descriptions concatenated into the single Dose directions description., 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=/items[at0021], code=at0021, itemType=ELEMENT, level=1, text=Dose timing description, description=A plain text description of medication dose frequency, as described in the AoMRC medication headings., comment=e.g. "Twice a day", "At 8am 2pm and 10pm" .
UK Secondary care clinicians and systems normally minimally structure their dose directions, separating Dose amount and Dose timing (often referred to as Dose and Frequency). This format is not normally used in GP systems, which will always import Dose and Frequency descriptions concatenated into the single Dose directions description., 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=/items[at0033], code=at0033, itemType=ELEMENT, level=1, text=Parsable dose directions, description=A parsable 'dose syntax' which carries dose strength, dose timing, dose duration and maximum dose information., comment=e.g. "20-30mg ^4/6h prn [180mg /24h]" = 20 to 30 mgs, up to 4-6 hourly as required. Maximum 180mg in 24 hours. The 'as required reason' e.g. 'for pain' should be carried in the Additional Instruction element. Note that this is generally a symptom and is not the same as the Indication which will usually describe a diagnosis or condition.
Where supported, this would generally be used to exchange dosage information between systems, while Structured dose directions are likely to be used only within openEHR-based systems., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_PARSABLE, bindings=null, values=Formalism: text/plain , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0045], code=at0045, itemType=CLUSTER, level=1, text=Structured dose direction, description=A structural representation of the elements carried by the dose syntax in 'Parsable dose strength/timing' i.e. dose strength, dose timing, dose duration and maximum dose., comment=Structured dose directions will normally be used within openEHR systems rather than in cross-system communication but may be helpful where legacy systems expose some structured data e.g Direction duration. , uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=1..*, cardinalityText= (Cardinality: 1..*, unordered), subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0045]/items[at0056], code=at0056, itemType=SLOT, level=2, text=Structured dose amount, description=A structural representation of dose amount., comment=e.g. 20mg or 2 tablets
This element will generally only be used when persisting data within systems with 'Parsable dose directions' being used to exchange the same information between systems., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: openEHR-EHR-CLUSTER.medication_quantity_sct.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0045]/items[at0044], code=at0044, itemType=SLOT, level=2, text=Structured dose timing, description=A slot containing a structural, computable representation of dose timing and maximum dose., comment=e.g. 20mg or 2 tablets
This element will generally only be used when persisting data within systems with 'Parsable dose directions' being used to exchange the same information between systems., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: All not explicitly excluded archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0045]/items[at0037], code=at0037, itemType=ELEMENT, level=2, text=Dose direction duration, description=The duration of a single dose direction, either as a timed duration such as '7 days' or a text instruction. Where multiple dose directions are required for a course of medication e.g for a tapering or increasing dose, the duration refers to the duration of a single direction, not the whole course., comment=e.g. "for 7 days", "Continue indefinitely".
"Continue indefinitely", and "Do not discontinue" are normally applied to medication discharge orders and recommendations. e.g. 20mg or 2 tablets
This element will generally only be used when persisting data within systems with 'Parsable dose directions' being used to exchange the same information between systems., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
- Coded Text
- at0042::Continue indefinitely [The medication should be continued indefinitely.]
- at0043::Do not discontinue [The medication should be continued indefinitely and the prescriber highly recommends that it should never be discontinued. This is an AoMRC Clinical Headings recommendation.]
- at0055::Stop when course complete. [The medication should be stopped when the currently prescribed course has been completed.]
- Duration
Allowed values: years, months, weeks, days, hours >=0 days
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0005], code=at0005, itemType=ELEMENT, level=1, text=(Additional instruction), description=Additional multiple dosage or administration instructions as plain text. This may include guidance to the prescriber, patient or person administering the medication. In some settings, specific Administration Instructions may be re-labelled as "Patient advice' or 'Dispensing Instruction' to capture these flavours of instruction., comment=e.g. “Omit morning dose on day of procedure”, "for pain or fever", "Dispense weekly"., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=Runtime name constraint:
- Additional instruction [Additional multiple dosage or administration instructions as plain text. This may include guidance to the prescriber, patient or person administering the medication. In some settings, specific Administration Instructions may be re-labelled as "Patient advice' or 'Dispensing Instruction' to capture these flavours of instruction.]
- Dispensing instruction [Multiple plain text to record complex dispensing arrangements, particularly for Controlled Drug instalment dispensing. 'Dispensing instructions' may be used as a specific label to overwrite 'Additional instructions' to align with legacy GP system behaviour.]
- Patient advice [Multiple plain text instructions intended for patient or carer. 'Patient advice' may be used as a specific label to overwrite 'Additional instructions' to align with legacy GP system behaviour.]
- Monitoring [Special instructions realted to monitoring of medication, such as lab tests.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0046], code=at0046, itemType=CLUSTER, level=1, text=Course details, description=Details of the overall course of medication., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText= (Cardinality: 1..*, unordered), subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0046]/items[at0049], code=at0049, itemType=ELEMENT, level=2, text=Course status, description=The status of this prescription in an ambulatory (outpatient/GP/community) context., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- at0050::Active [This is an active medication.]
- at0051::Discontinued [This is a medication that has been issued. dispensed or administered but has now been discontinued.]
- at0052::Never active [A medication which was ordered or authorised but has been cancelled prior to being issued, dispensed or adiminstered.]
- at0053::Completed [The medication course has been completed.]
- at0054::Obsolete [This medication order has been superseded by another.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0046]/items[at0039], code=at0039, itemType=ELEMENT, level=2, text=Start datetime, description=The date and/or time that the medication course should begin., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0046]/items[at0040], code=at0040, itemType=ELEMENT, level=2, text=End datetime, description=The date and/or time that the medication course should finish., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0046]/items[at0047], code=at0047, itemType=ELEMENT, level=2, text=Indication, description=A free text or Coded text term gving the clinical indication or reason for ordering the medication. Coded terms are preferable., comment=e.g. "Angina". The Indication generally describes a condition or diagnosis., 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=/items[at0046]/items[at0048], code=at0048, itemType=ELEMENT, level=2, text=Link to Indication record, description=A link to the record which contains the Indication for this medication order., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_URI, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0046]/items[at0028], code=at0028, itemType=ELEMENT, level=2, text=Comment / recommendation, description=Additional comment or recommendation about the medication course e.g. 'Patient named supply', 'unlicensed medication', 'Foreign brand' or monitoring recommendations., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0026], code=at0026, itemType=SLOT, level=1, text=Total daily dose quantity, description=The total daily dose of this medication. This is helpful for estimating optimal adherance to dosing guidance. It may be computed from product/dose strength and frequency or entered manually., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: openEHR-EHR-CLUSTER.medication_quantity_sct.v1 and specialisations, extendedValues=null]], details=[], provider=[], source=[], ism_transition=[], data=[], credentials=[]}, topLevelItems={items=ResourceSimplifiedHierarchyItem [path=ROOT_/, code=at0000, itemType=CLUSTER, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=1..*, cardinalityText= (Cardinality: 1..*, unordered), subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=items, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/items[at0001], code=at0001, itemType=ELEMENT, level=1, text=Medication name, description=Mandatory medication name coded using a SNOMED CT/dm+d term where possible, allowing plain text for historical/patient reported items , extemporaneous preparations or those not registered in dm+d., comment=e.g.“Citalopram tab 20mg”, "Trimethoprim", uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
- Text
- Coded Text
Constraint: MedicationName [Any AMP/VMP/VTM/AMPP/VMPP subsets from the dm+d terminology.
NHS dm+d AMP ::352201000001139
NHS dm+d AMPP ::352401000001135
NHS dm+d VMP ::352701000001133
NHS dm+d VMPP ::352301000001131
NHS dm+d VTM ::352601000001138]
Constraint binding:
- [dm+d]
- subset=NHS_dm+d
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0022], code=at0022, itemType=ELEMENT, level=1, text=Form, description=Form of the medicinal substance e.g capsules, tablets, liquid. Not normally required unless a specific form has been requested by the prescriber., comment=e.g. "Modified Release Capsules", uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
- Coded Text
Constraint: DrugDoseForm [SNOMED CT CFH::DoseForm termset.
Any descendant of 421967003 | drug dose form.]
Constraint binding:
- [SNOMED-CT]
- subset=CFH::DoseForm
- Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0002], code=at0002, itemType=ELEMENT, level=1, text=Route, description=Optional medication route, using SNOMED CT terms where possible. Not generally applicable to product-based medication. Should not be used to specify a specific administration site, for which a separate archetype is used e.g. The Route is 'intraocular' the Site may be 'Left eye'., comment=e.g. "Oral", "Intraocular".
Note that this element supports multiple Routes to allow a choce to be specified by the prescriber., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
- Coded Text
Constraint: NHS e-Prescribing route of administration subset [Id : 413001000001136
Original Id : 30201000001137
This is an extract from the SUBSET
-BiAnnual-Drug-15.0.1-20130401: SnomedCT_GB1000001_20130401/Subsets/EPrescribing/NHS e-Prescribing route of administration subset]
Constraint binding:
- [SNOMED-CT]
- subset=NHS e-Prescribing route of administration subset
- Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0029], code=at0029, itemType=ELEMENT, level=1, text=Site, description=The anatomical site at which the medication is to be administered., comment=e.g. "Left eye", uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
- Coded Text
Constraint: SiteOfMedicationAdministration [Any valid site for the administration of a medication.]
Constraint binding:
- [SNOMED-CT]
- subset=MedicationAdministrationSite
- Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0030], code=at0030, itemType=ELEMENT, level=1, text=Method, description=The technique or method by which the medication is to be administered., 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=/items[at0003], code=at0003, itemType=ELEMENT, level=1, text=Dose directions description, description=A single plain text phrase describing the entire medication dosage and administration directions, including dose quantity and medication frequency., comment=e.g. “I tablet at night” or “20mg at 10pm”
This is the form of dosage direction text normally available from UK GP systems., 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=/items[at0020], code=at0020, itemType=ELEMENT, level=1, text=Dose amount description, description=A plain text description of medication single dose amount, as described in the AoMRC medication headings., comment=e.g. "30 mg" or "2 tabs".
UK Secondary care clinicians and systems normally minimally structure their dose directions, separating Dose amount and Dose timing (often referred to as Dose and Frequency). This format is not normally used in GP systems, which will always import Dose and Frequency descriptions concatenated into the single Dose directions description., 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=/items[at0021], code=at0021, itemType=ELEMENT, level=1, text=Dose timing description, description=A plain text description of medication dose frequency, as described in the AoMRC medication headings., comment=e.g. "Twice a day", "At 8am 2pm and 10pm" .
UK Secondary care clinicians and systems normally minimally structure their dose directions, separating Dose amount and Dose timing (often referred to as Dose and Frequency). This format is not normally used in GP systems, which will always import Dose and Frequency descriptions concatenated into the single Dose directions description., 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=/items[at0033], code=at0033, itemType=ELEMENT, level=1, text=Parsable dose directions, description=A parsable 'dose syntax' which carries dose strength, dose timing, dose duration and maximum dose information., comment=e.g. "20-30mg ^4/6h prn [180mg /24h]" = 20 to 30 mgs, up to 4-6 hourly as required. Maximum 180mg in 24 hours. The 'as required reason' e.g. 'for pain' should be carried in the Additional Instruction element. Note that this is generally a symptom and is not the same as the Indication which will usually describe a diagnosis or condition.
Where supported, this would generally be used to exchange dosage information between systems, while Structured dose directions are likely to be used only within openEHR-based systems., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_PARSABLE, bindings=null, values=Formalism: text/plain , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0045], code=at0045, itemType=CLUSTER, level=1, text=Structured dose direction, description=A structural representation of the elements carried by the dose syntax in 'Parsable dose strength/timing' i.e. dose strength, dose timing, dose duration and maximum dose., comment=Structured dose directions will normally be used within openEHR systems rather than in cross-system communication but may be helpful where legacy systems expose some structured data e.g Direction duration. , uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=1..*, cardinalityText= (Cardinality: 1..*, unordered), subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0045]/items[at0056], code=at0056, itemType=SLOT, level=2, text=Structured dose amount, description=A structural representation of dose amount., comment=e.g. 20mg or 2 tablets
This element will generally only be used when persisting data within systems with 'Parsable dose directions' being used to exchange the same information between systems., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: openEHR-EHR-CLUSTER.medication_quantity_sct.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0045]/items[at0044], code=at0044, itemType=SLOT, level=2, text=Structured dose timing, description=A slot containing a structural, computable representation of dose timing and maximum dose., comment=e.g. 20mg or 2 tablets
This element will generally only be used when persisting data within systems with 'Parsable dose directions' being used to exchange the same information between systems., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: All not explicitly excluded archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0045]/items[at0037], code=at0037, itemType=ELEMENT, level=2, text=Dose direction duration, description=The duration of a single dose direction, either as a timed duration such as '7 days' or a text instruction. Where multiple dose directions are required for a course of medication e.g for a tapering or increasing dose, the duration refers to the duration of a single direction, not the whole course., comment=e.g. "for 7 days", "Continue indefinitely".
"Continue indefinitely", and "Do not discontinue" are normally applied to medication discharge orders and recommendations. e.g. 20mg or 2 tablets
This element will generally only be used when persisting data within systems with 'Parsable dose directions' being used to exchange the same information between systems., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
- Coded Text
- at0042::Continue indefinitely [The medication should be continued indefinitely.]
- at0043::Do not discontinue [The medication should be continued indefinitely and the prescriber highly recommends that it should never be discontinued. This is an AoMRC Clinical Headings recommendation.]
- at0055::Stop when course complete. [The medication should be stopped when the currently prescribed course has been completed.]
- Duration
Allowed values: years, months, weeks, days, hours >=0 days
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0005], code=at0005, itemType=ELEMENT, level=1, text=(Additional instruction), description=Additional multiple dosage or administration instructions as plain text. This may include guidance to the prescriber, patient or person administering the medication. In some settings, specific Administration Instructions may be re-labelled as "Patient advice' or 'Dispensing Instruction' to capture these flavours of instruction., comment=e.g. “Omit morning dose on day of procedure”, "for pain or fever", "Dispense weekly"., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=Runtime name constraint:
- Additional instruction [Additional multiple dosage or administration instructions as plain text. This may include guidance to the prescriber, patient or person administering the medication. In some settings, specific Administration Instructions may be re-labelled as "Patient advice' or 'Dispensing Instruction' to capture these flavours of instruction.]
- Dispensing instruction [Multiple plain text to record complex dispensing arrangements, particularly for Controlled Drug instalment dispensing. 'Dispensing instructions' may be used as a specific label to overwrite 'Additional instructions' to align with legacy GP system behaviour.]
- Patient advice [Multiple plain text instructions intended for patient or carer. 'Patient advice' may be used as a specific label to overwrite 'Additional instructions' to align with legacy GP system behaviour.]
- Monitoring [Special instructions realted to monitoring of medication, such as lab tests.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0046], code=at0046, itemType=CLUSTER, level=1, text=Course details, description=Details of the overall course of medication., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText= (Cardinality: 1..*, unordered), subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0046]/items[at0049], code=at0049, itemType=ELEMENT, level=2, text=Course status, description=The status of this prescription in an ambulatory (outpatient/GP/community) context., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- at0050::Active [This is an active medication.]
- at0051::Discontinued [This is a medication that has been issued. dispensed or administered but has now been discontinued.]
- at0052::Never active [A medication which was ordered or authorised but has been cancelled prior to being issued, dispensed or adiminstered.]
- at0053::Completed [The medication course has been completed.]
- at0054::Obsolete [This medication order has been superseded by another.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0046]/items[at0039], code=at0039, itemType=ELEMENT, level=2, text=Start datetime, description=The date and/or time that the medication course should begin., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0046]/items[at0040], code=at0040, itemType=ELEMENT, level=2, text=End datetime, description=The date and/or time that the medication course should finish., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0046]/items[at0047], code=at0047, itemType=ELEMENT, level=2, text=Indication, description=A free text or Coded text term gving the clinical indication or reason for ordering the medication. Coded terms are preferable., comment=e.g. "Angina". The Indication generally describes a condition or diagnosis., 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=/items[at0046]/items[at0048], code=at0048, itemType=ELEMENT, level=2, text=Link to Indication record, description=A link to the record which contains the Indication for this medication order., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_URI, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0046]/items[at0028], code=at0028, itemType=ELEMENT, level=2, text=Comment / recommendation, description=Additional comment or recommendation about the medication course e.g. 'Patient named supply', 'unlicensed medication', 'Foreign brand' or monitoring recommendations., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0026], code=at0026, itemType=SLOT, level=1, text=Total daily dose quantity, description=The total daily dose of this medication. This is helpful for estimating optimal adherance to dosing guidance. It may be computed from product/dose strength and frequency or entered manually., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: openEHR-EHR-CLUSTER.medication_quantity_sct.v1 and specialisations, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null] |