archetype (adl_version=1.4) openEHR-EHR-INSTRUCTION.medication_order_uk.v1 concept [at0000] -- Medication order language original_language = <[ISO_639-1::en]> description original_author = < ["name"] = <"Ian McNicoll"> ["organisation"] = <"Ocean Informatics, UK"> ["email"] = <"ian.mcnicoll@oceaninformatics.com"> ["date"] = <"2012-12-12"> > details = < ["en"] = < language = <[ISO_639-1::en]> purpose = <"To record details of a medication order, or as a summary of the use of a medication over time, including details of issues, repeat authorisations, dispensing and administration where appropriate. This is most often used when a summary extract is required, such as an unscheduled care summary or for referral and discharge documentation."> use = <"Used with appropriately filled slots to record details of the medication item and specific medication events such as issues, repeat authorisations, dispensing or administration events."> keywords = <"medication", "supply", "recommendation", "prescription", "order"> misuse = <"Not to be used to record the original individual medication records in a native application or shared medication database, or where a full, faithful 'event-based' extract is required for transfer to another system e.g. a GP2GP type transfer."> copyright = <"© openEHR Foundation"> > > lifecycle_state = <"AuthorDraft"> other_contributors = <"Dr John Williams, GP2GP project, UK", "Dr Leo Fogarty, GP2GP project, UK", "RCP Health Informatics Unit, UK"> other_details = < ["references"] = <"NHS England Messaging Implementation Manual (GP2GP messages) http://www.uktcregistration.nss.cfh.nhs.uk/trud3/user/guest/group/0/pack/11 NHS Scotland SCI-XML (SCI-Gateway, ECS, ePharmacy) http://www.sci.scot.nhs.uk/products/gateway/gate_down_xml.htm NHS Wales Informatics Service, Integrated Health Record http://www.wales.nhs.uk/nwis/page/52553 DM+D drug dictionary: http://www.dmd.nhs.uk/ Royal College of Physicians, Core Clinical Headings, http://www.rcplondon.ac.uk/projects/standards-core-clinical-information"> ["MD5-CAM-1.0.1"] = <"29DF2668BA45A28D0FB18654239ABE87"> > definition INSTRUCTION[at0000] matches { -- Medication order activities cardinality matches {0..*; unordered} matches { ACTIVITY[at0001] occurrences matches {0..*} matches { -- Medication order activity description matches { ITEM_TREE[at0002] matches { -- Tree items cardinality matches {0..*; unordered} matches { allow_archetype CLUSTER[at0003] occurrences matches {0..1} matches { -- Medication item include archetype_id/value matches {/openEHR-EHR-CLUSTER\.medication_item(-[a-zA-Z0-9_]+)*\.v1/} } CLUSTER[at0039] occurrences matches {0..1} matches { -- Course directions items cardinality matches {1..*; unordered} matches { ELEMENT[at0069] occurrences matches {0..1} matches { -- Indication value matches { DV_TEXT matches {*} } } ELEMENT[at0070] occurrences matches {0..1} matches { -- Link to Indication record value matches { DV_EHR_URI matches {*} } } ELEMENT[at0040] occurrences matches {0..1} matches { -- Start date value matches { DV_DATE_TIME matches {*} } } ELEMENT[at0041] occurrences matches {0..1} matches { -- Overall duration value matches { DV_TEXT matches {*} DV_CODED_TEXT matches { defining_code matches { [local:: at0042, -- Continue indefinitely at0043] -- Do not discontinue } } DV_DURATION matches { value matches {|>=PT0S|} } } } ELEMENT[at0044] occurrences matches {0..1} matches { -- End date value matches { DV_DATE_TIME matches {*} } } ELEMENT[at0045] occurrences matches {0..*} matches { -- Overall recommendations value matches { DV_TEXT matches {*} } } } } } } } } } protocol matches { ITEM_TREE[at0036] matches { -- Tree items cardinality matches {0..*; unordered} matches { allow_archetype CLUSTER[at0071] occurrences matches {0..1} matches { -- Medication status include archetype_id/value matches {/.*/} } allow_archetype CLUSTER[at0037] occurrences matches {0..1} matches { -- Record provenance include archetype_id/value matches {/openEHR-EHR-CLUSTER\.record_provenance(-[a-zA-Z0-9_]+)*\.v1/} } } } } } ontology term_definitions = < ["en"] = < items = < ["at0000"] = < text = <"Medication order"> description = <"Record of a single medication item, either to record the current medication order, or for summary purposes in clinical communications, including information on past issues, authorisations, dispensing and administration."> > ["at0001"] = < text = <"Medication order activity"> description = <"Medication order details."> > ["at0002"] = < text = <"Tree"> description = <"@ internal @"> > ["at0003"] = < text = <"Medication item"> description = <"Core details of the medication item."> > ["at0036"] = < text = <"Tree"> description = <"@ internal @"> > ["at0037"] = < text = <"Record provenance"> description = <"Details of the provenance of the record e.g. source, name and role of author, care setting."> > ["at0039"] = < text = <"Course directions"> description = <"Directions relating to the whole course of medication."> > ["at0040"] = < text = <"Start date"> description = <"The date at which the course of medication should be started."> > ["at0041"] = < text = <"Overall duration"> description = <"The overall duration for which this medication should be continued."> > ["at0042"] = < text = <"Continue indefinitely"> description = <"The medication should be continued indefinitely."> > ["at0043"] = < text = <"Do not discontinue"> description = <"It is critical that the medication should be continued indefinitely."> > ["at0044"] = < text = <"End date"> description = <"The date after which the medication course should be stopped."> > ["at0045"] = < text = <"Overall recommendations"> description = <"Any other directions about the medication e.g. monitoring requirements or alignment with other medication."> > ["at0069"] = < text = <"Indication"> description = <"The clinical indication or reason for ordering the medication."> > ["at0070"] = < text = <"Link to Indication record"> description = <"A link to the record which contains the Indication for this medication order."> > ["at0071"] = < text = <"Medication status"> description = <"The current status of the medication order."> > > > >