archetype (adl_version=1.4; uid=2af67d4c-0798-41b1-b4ec-d2392e5d6f16) openEHR-EHR-COMPOSITION.medication_list.v0 concept [at0000] -- Medication list language original_language = <[ISO_639-1::en]> translations = < ["es-ar"] = < language = <[ISO_639-1::es-ar]> author = < ["name"] = <"Edgardo Vazquez"> ["organisation"] = <"VinculoMedico"> ["email"] = <"edgardo.vazquez@vinculomedico.com"> > accreditation = <"Medical Doctor"> > > description original_author = < ["name"] = <"Chunlan Ma"> ["organisation"] = <"Ocean Informatics, Australia"> ["email"] = <"chunlan.ma@oceaninformatics.com"> ["date"] = <"2006-11-06"> > details = < ["es-ar"] = < language = <[ISO_639-1::es-ar]> purpose = <"Registrar un listado gestionado y persistente de medicaciones razonablemente asumidas como que estan siendo tomadas por la persona, y que pueden influenciar la toma de decisiones y la provision del cuidado. Las medicinas pueden ser precriptas o adquiridas libremente."> use = <"Utilizado para registrar un listado persistente y gestionado de todos los medicamentos , tanto los prescriptos como los de venta libre, que se asumen estan siendo tomados por la persona. Este listado puede ser utilizado como una fuente de actualizacion de data sobre medicamentos para intercambio o como base para una toma de decisiones. Este listado puede comprender tres tipos de arquetipos: -los enunciados sobre el uso positivo de medicaciones son registrado utilizando los arquetipos INSTRUCTION. medication y/o ACTION. medication; O - un enunciado positivo sobre una exclusion de medicacion puede ser registrado utilizando el arquetipo específico EVALUATION.exclusion-medication - por ejemplo \" Actualmente no se encuetra tomando medicaciones\"; O - un enunciado sobre la falta de disponibilidad de iformacion- ni un uso positivo de medicacion ni una exclusion positiva- puede ser registrado utilizando el arquetipo de EVALUATION. absence. Puede existir una diferencia sutil pero importante entre tipos de listados de medicaciones. Algunos ejemplos incluyen \"Medicacion Presente\" o \"Medicacion Habitual\". Un \"listado de Medicacion Presente\" puede ser considerado como un listado de todas los medicamentos que la persona deberia tener en su cuerpo en un momento determinado, incluyendo una dosis stat de un medicamento que deberia ser considerado cuando se prescribe un medicamento adicional para asegurar que continua el control de interaccion droga-droga durante la duracion de su influencia fisiologica. Un \"Listado de Medicacion Habitual\" puede incluir solamente aquellos medicamentos que son prescriptos o utilizados de manera regular y permanente. En la práctica clinica es comun crear Listado de Medicamentos que tienen una restriccion contextual o temporal, incluyendo 'Listado de Medicamentos en Admision' y 'Listado de Medicamentos en el Alta', los cuales seran precisos en un punto en el tiempo pero no seran gestionados. Probablemente sea una mejor practica registrar los mismos de manera explicita, por ejemplo como el resultado de un query, registrar y/o intercambiar la data precisa aplicable para esa instancia temporal y lugar y no utilizar este arquetipo en esta situacion. Con la finalidad que esta lista sea precisa y segura de usar como base de actividades de apoyo a las decisiones y para intercambio, este Listado de Medicamentos deberia idealmente ser curada por el clinico responsable por el registro de la salud, en ves de ser solamente gestionada automaticamente por el sistema clinico a traves de reglas de negocio. "> keywords = <"medicacion", "medicina", "listado", "en curso", "droga"> misuse = <"No debe ser utilizado para el registro de Listado de Medicamentos no persistentes No debe ser utilizado para registrar vacunaciones administradas."> copyright = <"© openEHR Foundation"> > ["en"] = < language = <[ISO_639-1::en]> purpose = <"To record a persistent and managed list of medicines that are reasonably assumed to be taken by the individual or, alternatively, positive statements about known exclusions or actual absence of any information about medications; all of which may influence clinical decision-making and care provision. "> use = <"Use to record a persistent and managed list of all medicines, both prescribed and 'over the counter', that are reasonably assumed to be taken by the individual or, alternatively, positive statements about known exclusions or actual absence of any information about medications; This list can be utilised as a source of medicines data as a current medication list, for exchange or as the basis for decision support. This list can be comprised of three types of archetype: - statements about the positive use of medications are recorded using the INSTRUCTION.medication and/or ACTION.medication archetypes; OR - a positive statement about the exclusion of medication use can be recorded using the specific EVALUATION.exclusion-medication archetype - for example: \"Not currently taking any medications\"; OR - a positive statement about no information being available - neither a positive known use of medication nor a positive exclusion - can be recorded using the EVALUATION.absence archetype. In order for a Medication list to be accurate and safe to use as the basis for decision support activities and for exchange, this Medication List should ideally be curated by a clinician responsible for the health record, rather than managed automatically by the clinical system through business rules alone. There can be a subtle but important difference between types of medication lists. Some examples include: 'Current Medication' or 'Regular Medication'. A 'Current Medication' list may be regarded as a list of all medicines that the individual would have in their body at a given time, including any stat or prn doses of a medicine that should be considered when prescribing to ensure that drug-drug interaction checking continues for the duration of it's physiological effect. A 'Regular Medication' list may only include those medicines that are taken by the individual on a regular and ongoing basis. In addition, it is common in clinical practice to create Medication Lists that have temporal constraints, including 'Admission Medication List' and 'Discharge Medication List', which will be relevant only at a specified point in time. It is probably better practice to record these contextual clinical constructs as the result of a query, rather than represent it within a COMPOSITION to prevent any incorrect assumption that this is an ongoing list of medications. This archetype is intended to be represented and managed as a persistent list, however there are situations where the list may be used within episodic care and require additional attributes such as context etc to enable accurate recording. The openEHR reference model currently only allows context to be recorded within Event-based COMPOSITION archetypes. As a result, this archetype has been modelled as an Event, rather than Persistent, COMPOSITION, to allow for flexibility so that some clinical systems can safely manage Medication lists for episodes of care, while others will choose to implement this COMPOSITION to act in a persistent manner."> keywords = <"medication", "medicine", "list", "ongoing", "drug"> misuse = <"Not to be used to record lists of Medications that are not intended for persistence and ongoing revision and curation. Not to be used to record vaccinations administered - use COMPOSITION.vaccination_list for this purpose."> copyright = <"© openEHR Foundation"> > > lifecycle_state = <"in_development"> other_contributors = <"Ian McNicoll, Ocean Informatics, United Kingdom", "Sam Heard, Ocean Informatics, Australia", "Sistine Barretto-Daniels, Ocean Informatics, Australia", "Heather Leslie, Ocean Informatics, Australia"> other_details = < ["licence"] = <"This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/."> ["custodian_organisation"] = <"Ocean Informatics"> ["current_contact"] = <"Heather Leslie, Ocean Informatics, heather.leslie@oceaninformatics.com"> ["original_namespace"] = <"com.oceaninformatics"> ["original_publisher"] = <"Ocean Informatics"> ["custodian_namespace"] = <"com.oceaninformatics"> ["MD5-CAM-1.0.1"] = <"7A704137E782B837BAD4911E9234BC40"> ["build_uid"] = <"b6460906-4475-44ed-915e-c1e2a10e5ff8"> ["revision"] = <"0.0.1-alpha"> > definition COMPOSITION[at0000] matches { -- Medication list category matches { DV_CODED_TEXT matches { defining_code matches {[openehr::433]} } } context matches { EVENT_CONTEXT matches { other_context matches { ITEM_TREE[at0005] matches {*} } } } } ontology term_definitions = < ["en"] = < items = < ["at0000"] = < text = <"Medication list"> description = <"A persistent and managed list of medications that are reasonably assumed to be taken by the individual and that may influence clinical decision-making and care provision."> > ["at0005"] = < text = <"Tree"> description = <"@ internal @"> > > > ["es-ar"] = < items = < ["at0000"] = < text = <"*Medication list(en)"> description = <"*A persistent and managed list of medications that are reasonably assumed to be taken by the individual and that may influence clinical decision-making and care provision.(en)"> > ["at0005"] = < text = <"*Tree(en)"> description = <"*@ internal @(en)"> > > > >