archetype (adl_version=1.4; uid=b75b359e-4869-4ec3-b851-dbbae34cf8ba) openEHR-EHR-CLUSTER.direction.v0 concept [at0000] -- Direction language original_language = <[ISO_639-1::en]> description original_author = < ["name"] = <"Ian McNicoll"> ["organisation"] = <"freshEHR Clinical Informatics"> ["email"] = <"ian@freshehr.com"> ["date"] = <"2017-03-22"> > details = < ["en"] = < language = <[ISO_639-1::en]> purpose = <"To record structured details of a single therapeutic direction for an ordered therapeutic/prescribable item. Each direction generally applies for a given duration, or fixed number of administrations."> use = <"A direction describes one or more sequential therapeutic administration patterns, coupled with an overall direction duration and details of any repetitive pattern of intended administration outside a single day. BLA For example: '1 tab in the morning, 1 tab at night, for 3 weeks, on Mondays, Wednesdays and Fridays'. This cluster allows multiple occurrences to enable representation of a complete set of dosage directions for a single medication order. The cluster can be renamed in template or at run-time to represent a specific dosing event such as 'loading dose', 'bolus'. This archetype will gnerally be used in the context of a parent INSTRUCTION archetype, primarily Medication order but also for transfusion and dialysis orders."> keywords = <"medication", "order", "prescribe", "therapy", "substance", "drug", "therapeutic", "otc", "therapeutic good", "pharmaceutical", "product", "posology", "treatment", "transfusion"> misuse = <""> copyright = <"© openEHR Foundation"> > > lifecycle_state = <"in_development"> other_contributors = <"Vebjørn Arntzen, Oslo University Hospital, Norway", "Koray Atalag, University of Auckland, New Zealand", "Silje Ljosland Bakke, Nasjonal IKT HF, Norway (openEHR Editor)", "Marcus Baw, openGPSoC / BawMedical Ltd, United Kingdom", "John Bennett, NEHTA, Australia", "SB BHATTACHARYYA, Sudisa Consultancy Services, India", "SBhusan Bhattacharyya, Sudisa Consultancy Services, India", "Sharmila Biswas, Australia", "Lars Bitsch-Larsen, Haukeland University hospital, Norway", "Stephen Chu, NEHTA, Australia (Editor)", "Matthew Cordell, NEHTA, Australia", "Gail Easterbrook, Flinders Medical Centre, Australia", "David Evans, Queensland Health, Australia", "Hildegard Franke, freshEHR Clinical Informatics Ltd., United Kingdom", "Sarah Gaunt, NEHTA, Australia", "Heather Grain, Llewelyn Grain Informatics, Australia", "Trina Gregory, cpc, Australia", "Robert Hausam, Hausam Consulting LLC, United States", "Sam Heard, Ocean Informatics, Australia (Editor)", "Evelyn Hovenga, EJSH Consulting, Australia", "Mary Kelaher, NEHTA, Australia", "Robert L'egan, NEHTA, Australia", "Russell Leftwich, Russell B Leftwich MD, United States", "Heather Leslie, Ocean Informatics, Australia (openEHR Editor)", "Colin Macfarlane, Elsevier, United Kingdom", "Susan McIndoe, Royal District Nursing Service, Australia", "David McKillop, NEHTA, Australia", "Ian McNicoll, freshEHR Clinical Informatics, United Kingdom (openEHR Editor)", "Chris Mitchell, RACGP, Australia", "Stewart Morrison, NEHTA, Australia", "Andrej Orel, Marand d.o.o., Slovenia", "Chris Pearce, Melbourne East GP Network, Australia", "Vladimir Pizzo, Hospital Sírio Libanês, Brazil", "Camilla Preeston, Royal Australian College of General Practitioners, Australia", "Margaret Prichard, NEHTA, Australia", "Cathy Richardson, NEHTA, Australia", "Robyn Richards, NEHTA - Clinical Terminology, Australia", "Anoop Shah, University College London, United Kingdom", "Iztok Stotl, UKCLJ, Slovenia", "Norwegian Review Summary, Nasjonal IKT HF, Norway", "John Taylor, NEHTA, Australia", "Nyree Taylor, Ocean Informatics, Australia", "Richard Townley-O'Neill, NEHTA, Australia", "John Tore Valand, Helse Bergen, Norway (openEHR Editor)", "Ines Vaz, UFN, Portugal", "Kylie Young, The Royal Australian College of General Practitioners, 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"> ["references"] = <"Medication instruction, Draft Archetype [Internet]. nehta, Australia, nehta Clinical Knowledge Manager [cited: 2015-12-15]. Available from: http://dcm.nehta.org.au/ckm/#showArchetype_1013.1.838 Intermountain Healthcare Medication order model, Personal Communication to Sam Heard by Dr Stan Huff. Royal Australian College of General Practitioners. Fact Sheet: Medicines List. 2010. NHS HSCIC Messaging Implementation Manual (GP2GP messages) http://www.uktcregistration.nss.cfh.nhs.uk/trud3 Standards for medication and medical device records – technical annex [Internet]. RCP London. [cited 2015 Dec 15]. Available from: https://www.rcplondon.ac.uk/projects/outputs/standards-medication-and-medical-device-records-technical-annex"> ["current_contact"] = <"Ian McNicoll, freshEHR Clinical Informatics, UK "> ["original_namespace"] = <"com.oceaninformatics"> ["original_publisher"] = <"Ocean Informatics"> ["custodian_namespace"] = <"com.oceaninformatics"> ["MD5-CAM-1.0.1"] = <"418F4EACADA38EF202C381849DDC0C84"> ["build_uid"] = <"05f740cd-11d2-4090-a6e3-cdd2796bed1d"> ["revision"] = <"0.0.1-alpha"> > definition CLUSTER[at0000] matches { -- Direction items cardinality matches {1..*; unordered} matches { ELEMENT[at0057] occurrences matches {0..1} matches { -- Direction sequence value matches { DV_COUNT matches { magnitude matches {|>=1|} } } } allow_archetype CLUSTER[at0176] occurrences matches {0..1} matches { -- Dosage administration pattern include archetype_id/value matches {/openEHR-EHR-CLUSTER\.administration_pattern(-[a-zA-Z0-9_]+)*\.v0|openEHR-EHR-CLUSTER\.administration_pattern(-[a-zA-Z0-9_]+)*\.v1/} } ELEMENT[at0066] occurrences matches {0..1} matches { -- Direction duration value matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0067, -- Indefinite at0068] -- Indefinite - not to be discontinued } } DV_DURATION matches { value matches {|>=PT0S|} } DV_TEXT matches {*} } } ELEMENT[at0172] occurrences matches {0..1} matches { -- Maximum number of administrations value matches { DV_COUNT matches { magnitude matches {|>=1|} } } } allow_archetype CLUSTER[at0090] occurrences matches {0..1} matches { -- Direction repetition include archetype_id/value matches {/openEHR-EHR-CLUSTER\.timing_repetition(-[a-zA-Z0-9_]+)*\.v0/} } allow_archetype CLUSTER[at0156] occurrences matches {0..*} matches { -- Additional details include archetype_id/value matches {/openEHR-EHR-CLUSTER\.conditional_medication_rules(-[a-zA-Z0-9_]+)*\.v0/} } } } ontology term_definitions = < ["en"] = < items = < ["at0000"] = < text = <"Direction"> description = <"Structured details of a single therapeutic direction for an ordered item, such as a medication or blood transfusion order."> > ["at0057"] = < text = <"Direction sequence"> description = <"The intended position of this direction within the overall sequence of directions."> comment = <"For example: ''1' '2', '3'. Where multiple dosage directions are expressed, the 'Direction sequence' makes the order in which they should be executed explicit. For example: (1) 1 tab daily for 3 days, (2) 1 tab twice daily for 4 days, (3) 1 tablet for 7 days. "> > ["at0066"] = < text = <"Direction duration"> description = <"The length of time for which this direction should be applied."> comment = <"For example: 'for 7 days','Indefinite'. An example of a set of multiple directions, with varying durations might be ... '1 tablet daily for 3 days, 2 tablets daily for 4 days, then 3 tablets Indefinite'."> > ["at0067"] = < text = <"Indefinite"> description = <"The direction should be continued indefinitely."> > ["at0068"] = < text = <"Indefinite - not to be discontinued"> description = <"The direction should be continued indefinitely with a strong recommendation that it never be discontinued."> > ["at0090"] = < text = <"Direction repetition"> description = <"Structured details about pattern of repetition for each set of daily directions."> comment = <"For example: 'every 3 days', 'on Thursdays and Sundays', '3 days after onset of menstruation'."> > ["at0156"] = < text = <"Additional details"> description = <"Further details about an ordered item direction."> comment = <"For example, conditional instructions such as insulin /glucose infusion rates dependent on blood glucose, or detailed administration instructions for particular preparations."> > ["at0172"] = < text = <"Maximum number of administrations"> description = <"The maximum number of administrations to be given for this direction."> comment = <"Example: 'Give once only' = 1 or '400mg 12hrly for 3 doses' = 3."> > ["at0176"] = < text = <"Dosage administration pattern"> description = <"The combination of a medication amount and a single medication timing."> > > > >