ARCHETYPE ID | openEHR-EHR-INSTRUCTION.medication_order.v0 |
Concept | Medication order |
Description | Details of a medicine, vaccine or other therapeutic good with instructions for use. |
Use | For recording instructions to dispense, administer or use a medicine, vaccine or other therapeutic good. This medication instruction can be used in many circumstances including: a record in a progress note; an item in a medication list, prescription or drug chart (to be dispensed and/or administered); or in a summary document such as discharge summary or a referral for care. The instruction may be complex and involve more than one activity, such as in the case of a reducing dose of Predisolone, or multiple medications as components of the same order. This would include a written order by a physician, dentist, nurse practitioner, or other designated health professional for a medication to be dispensed and administered to a patient. This instruction will generally apply to things that can be prescribed or are available 'over the counter'. Use for orders for vaccinations or other therapeutic goods. These may be presented differently in different applications but require the same structure. Use for the consistent representation of an item in a medication list comprising the medicines that a clinicians collectively expect the individual to be taking. The information recorded may separate dose, route and timing to achieve a computable and sharable specification but also allows for narrative instructions for orders like 'Frusemide 40mg two tablets in the morning and one at lunch' to ensure compatibility with existing systems. Compound sequential orders using the same preparation strength are supported within a single Order structure. Where different medicines or preparations are to be given sequentially. mutiple Orders can be chained within a single data structure. The instruction will usually include information about the timing and dose (which may be structured) and in some settings will include the route of administration. The amount of the medicines will usually be given in terms of a number and a dose unit but may be a narrative statement to ensure compatibility with existing systems and also coverage of all scenarios. Use to represent a prescription item for a medicine, vaccine or other therapeutic good within a document such as an electronic prescription (see COMPOSITION.prescription) or a medication chart. The content is potentially complex. Where the content is re-usable in other contexts, especially the paired ACTION.medication archetype (for recording dispensing, administration etc) the content has been specified in re-useable CLUSTER archetypes. |
Misuse | Not to be used to record administration, use or dispensing. (For those use ACTION.medication) Not to be used to record ordering of blood products, implants or major devices such as pacemakers and defibrillators, etc. |
Purpose | Recording intent to use or to continue to use a medicine, vaccine or other therapeutic good including instructions on use, dispensing and administration, where neccessary. |
References | openEHR Foundation Medication archetypes http://www.openehr.org/knowledge NEHTA's Therapeutic Good Use Data Group from the NEHTA Website http://www.nehta.gov.au 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. |
Authors | Author name: Sam Heard Organisation: NEHTA Email: sam.heard@oceaninformatics.com Date originally authored: 2015-10-21 |
Other Details Language | Author name: Sam Heard Organisation: NEHTA Email: sam.heard@oceaninformatics.com Date originally authored: 2015-10-21 |
OtherDetails Language Independent | {licence=This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/., references=openEHR Foundation Medication archetypes http://www.openehr.org/knowledge NEHTA's Therapeutic Good Use Data Group from the NEHTA Website http://www.nehta.gov.au 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., MD5-CAM-1.0.1=12B45CF421EC99D529C67338D50F30B6, build_uid=22c9cd94-3466-43a8-b2c4-04769d9913bd, revision=0.0.1-alpha} |
Keywords | medication, order, prescribe, therapy, substance, drug, therapeutic, otc, therapeutic good |
Lifecycle | in_development |
UID | 32802688-cbff-4d61-970d-da85810e6a07 |
Language used | en |
Citeable Identifier | 1013.1.1445 |
Revision | 5 |
Revision Number | 0.0.1-alpha |
All | Archetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Details of a medicine, vaccine or other therapeutic good with instructions for use., archetypeConceptComment=null, otherContributors=Silje Ljosland Bakke, Helse Bergen HF, Norway (Editor) John Bennett, NEHTA, Australia Sharmila Biswas, Australia Stephen Chu, NEHTA, Australia (Editor) Matthew Cordell, NEHTA, Australia Gail Easterbrook, Flinders Medical Centre, Australia David Evans, Queensland Health, Australia Sarah Gaunt, NEHTA, Australia Trina Gregory, cpc, Australia Sam Heard, Ocean Informatics, Australia (Editor) Mary Kelaher, NEHTA, Australia Robert L'egan, NEHTA, Australia Heather Leslie, Ocean Informatics, Australia (Editor) Susan McIndoe, Royal District Nursing Service, Australia David McKillop, NEHTA, Australia Chris Mitchell, RACGP, Australia Stewart Morrison, NEHTA, Australia Chris Pearce, Melbourne East GP Network, Australia Camilla Preeston, Royal Australian College of General Practitioners, Australia Margaret Prichard, NEHTA, Australia Cathy Richardson, NEHTA, Australia Robyn Richards, NEHTA - Clinical Terminology, Australia John Taylor, NEHTA, Australia Richard Townley-O'Neill, NEHTA, Australia (Editor) Kylie Young, The Royal Australian College of General Practitioners, Australia Ian McNicoll, freshEHR Clinical Informatics Ltd., UK, originalLanguage=en, translators=, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={items=[], description=[], context=[], activities=[ResourceSimplifiedHierarchyItem [path=/activities[at0001], code=at0001, itemType=ACTIVITY, level=1, text=Order, description=Order., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ACTIVITY, bindings=null, values=Action Archetype ID: openEHR-EHR-ACTION.medication.v0, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0070], code=at0070, itemType=ELEMENT, level=2, text=Medication, description=The medicine, vaccine or other therapeutic good being ordered, administered to or used by the subject of care. This item should be coded if possible., comment=e.g. 'Atenolol'., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0143], code=at0143, itemType=SLOT, level=2, text=Preparation, description=The strength and form of the overall preparation, including form, strength, any diluents or mixture of ingredients., 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_ , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0109], code=at0109, itemType=ELEMENT, level=2, text=Dose amount description, description=A narrative description of the dose amount of the medicine, vaccine or other therapeutic good., comment=Will generally only be used for legacy formats where dose directions are simply split between textual representations of dose and amount., 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=/activities[at0001]/description[at0002]/items[at0055], code=at0055, itemType=ELEMENT, level=2, text=Dose timing description, description=A narrative description of the dose frequency and other timing of the medicine, vaccine or other therapeutic good., comment=Will generally only be used for legacy formats where dose directions are simply split between textual representations of dose and amount., 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=/activities[at0001]/description[at0002]/items[at0056], code=at0056, itemType=CLUSTER, level=2, text=Dose direction, description=One or more structured directions, including structured dose amount and timing and making up the complete set of directions for the medication order., comment=e.g. '1 tab in the morning 1 tab at night for 3 weeks, on Mondays Wednesdays and Fridays'., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=1..*, cardinalityText= , subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0056]/items[at0057], code=at0057, itemType=ELEMENT, level=3, text=Direction sequence, description=The intended order of this direction within the overall sequence., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=1 , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0056]/items[at0058], code=at0058, itemType=CLUSTER, level=3, text=Dose pattern, description=The combination of a medication amount associated with a single medication timing., comment=e.g. '2 tablets at 6pm' or '20mg three times per day'., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=1..*, cardinalityText= , subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0056]/items[at0058]/items[at0144], code=at0144, itemType=ELEMENT, level=4, text=Dose amount, description=The value of the amount of medication as a real number., comment= e.g 1, 1.5, 0.125 or 1-2, 12.5-20.5, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
openEHR-EHR-CLUSTER.daily_
openEHR-EHR-CLUSTER.timing_ Units: >=0.0 , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0062]/items[at0051]/items[at0146], code=at0146, itemType=ELEMENT, level=4, text=Maximum amount dose unit, description=The dose unit for the maxumum amount of medication allowed., comment=e.g 'tablet','mg'. Often coded using a reference terminology such as SNOMED CT., 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=/activities[at0001]/description[at0002]/items[at0062]/items[at0051]/items[at0053], code=at0053, itemType=ELEMENT, level=4, text=Allowed period, description=The allowed period for the maximal dose., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=>=0 years , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0062]/items[at0064], code=at0064, itemType=ELEMENT, level=3, text=Exceptional dose override, description=Does the prescriber confirm that the normal dose has been overriden in exceptional circumstances?, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0062]/items[at0127], code=at0127, itemType=CLUSTER, level=3, text=Cumulative maximum dose, description=The maximum dose allowed over a lifetime., 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=/activities[at0001]/description[at0002]/items[at0062]/items[at0051]/items[at0130], code=at0130, itemType=ELEMENT, level=4, text=Maximum amount, description=The maximum amount of medication allowed in the defined period., comment= e.g 1, 1.5, 0.125, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Qualified real Units: >=0.0 , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0062]/items[at0051]/items[at0146], code=at0146, itemType=ELEMENT, level=4, text=Maximum amount dose unit, description=The dose unit for the maxumum amount of medication allowed., comment=e.g 'tablet','mg'. Often coded using a reference terminology such as SNOMED CT., 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=/activities[at0001]/description[at0002]/items[at0044], code=at0044, itemType=ELEMENT, level=2, text=Additional instruction, description=An additional statement on how to use the medicine, vaccine or other therapeutic good., 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=/activities[at0001]/description[at0002]/items[at0105], code=at0105, itemType=ELEMENT, level=2, text=Patient instruction, description=An additional instruction directed primarily at the patient., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0107], code=at0107, itemType=ELEMENT, level=2, text=Monitoring instruction, description=An additional instruction which gives advice on appropriate monitoring of the medication e.g. blood testing., 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=/activities[at0001]/description[at0002]/items[at0018], code=at0018, itemType=ELEMENT, level=2, text=Clinical indication, description=A reason for ordering the medicine, vaccine or other therapeutic good., comment=e.g. 'stop when symptoms have resolved'., 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=/activities[at0001]/description[at0002]/items[at0148], code=at0148, itemType=ELEMENT, level=2, text=Therapeutic intent, description=The overall theraputic intent of the medication., comment=e.g. 'palliative', 'low-dose propylaxis', 'baseline electrolyte infusion', 'active medication infusion', 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=/activities[at0001]/description[at0002]/items[at0113], code=at0113, itemType=CLUSTER, level=2, text=Course details, description=Details of the overall course of the medication., 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=/activities[at0001]/description[at0002]/items[at0113]/items[at0012], code=at0012, itemType=ELEMENT, level=3, text=Order start date/time, description=The date and optional time to begin using the medicine, vaccine or other therapeutic good., 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=/activities[at0001]/description[at0002]/items[at0113]/items[at0013], code=at0013, itemType=ELEMENT, level=3, text=Order stop date/time, description=The date and optional time to stop using the medicine, vaccine or other therapeutic good., 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=/activities[at0001]/description[at0002]/items[at0113]/items[at0011], code=at0011, itemType=ELEMENT, level=3, text=Order start criterion, description=A condition which, when met, requires the start of administration or use., 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=/activities[at0001]/description[at0002]/items[at0113]/items[at0016], code=at0016, itemType=ELEMENT, level=3, text=Order stop criterion, description=A condition which, when met, requires the cessation of administration or use., 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=/activities[at0001]/description[at0002]/items[at0113]/items[at0050], code=at0050, itemType=ELEMENT, level=3, text=Duration of course already complete, description=The time period for which the patient was already on this treatment prior to this instruction being issued., comment=e.g. To record that the patient had been taking antibiotics three days prior to hospital admission, in the context of a 7-day course., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=Allowed values: weeks, days, hours >=0 hours , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0113]/items[at0060], code=at0060, itemType=ELEMENT, level=3, text=Administrations already complete, description=The number of administrations of the medicine, vaccine or other therapeutic good that have been administered as part of the overall course but prior to this instruction., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0113]/items[at0112], code=at0112, itemType=SLOT, level=3, text=Course summary, description=Summary information about the medication, such as current status or key dates, generally used in non-prescription contexts., comment=Course summary is required when transmitting medication information between systems e.g as part of a referral, emergency patient summary or discharge communication., 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=/activities[at0001]/description[at0002]/items[at0133], code=at0133, itemType=CLUSTER, level=2, text=Administration, description=Details pertinent to administration of the medication., 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=/activities[at0001]/description[at0002]/items[at0133]/items[at0108], code=at0108, itemType=ELEMENT, level=3, text=Administration instruction, description=An additional instruction directed primarily at the person administering the medication., 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=/activities[at0001]/description[at0002]/items[at0133]/items[at0102], code=at0102, itemType=ELEMENT, level=3, text=Dose administration duration, description=The period of time over which a single dose of the medicine should be administered., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=Allowed values: days, hours, minutes, seconds >=0 hours , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0133]/items[at0134], code=at0134, itemType=ELEMENT, level=3, text=Infusion administration rate, description=The rate at which the infusion is to be administered., comment=Use the Text choice to record non or semi-quantifiable instructions e.g. 1 drop per minute., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
openEHR-EHR-CLUSTER.anatomical_ openEHR-EHR-CLUSTER.device.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0133]/items[at0043], code=at0043, itemType=SLOT, level=3, text=Administration details, description=Further structured details of the administration of the medicine, vaccine or other therapeutic good., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: All not explicitly excluded archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0129], code=at0129, itemType=CLUSTER, level=2, text=Dispensing, description=Details of the order pertinent to the dispenser., 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=/activities[at0001]/description[at0002]/items[at0129]/items[at0106], code=at0106, itemType=ELEMENT, level=3, text=Dispensing instruction, description=An additional instruction directed at the dispenser., 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=/activities[at0001]/description[at0002]/items[at0129]/items[at0141], code=at0141, itemType=CLUSTER, level=3, text=Quantity to dispense, description=Details of the amount of medication to be supplied by the dispenser., 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=/activities[at0001]/description[at0002]/items[at0129]/items[at0141]/items[at0131], code=at0131, itemType=ELEMENT, level=4, text=Amount to dispense, description=The amount of medication to dispense., comment= e.g 1, 1.5, 0.125, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Qualified real Units: >=0.0 , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0129]/items[at0141]/items[at0147], code=at0147, itemType=ELEMENT, level=4, text=Dispense unit, description=The dose unit or pack unit associated with the dispense amount., comment=e.g.'tablets', 'packs', ml'., 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=/activities[at0001]/description[at0002]/items[at0129]/items[at0141]/items[at0142], code=at0142, itemType=ELEMENT, level=4, text=Duration to supply, description=The dispenser is asked to supply sufficient quantity of medication to cover the defined period., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=Allowed values: years, months, weeks >=0 years , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0129]/items[at0141]/items[at0140], code=at0140, itemType=ELEMENT, level=4, text=Dispensing supply description, description=The amount of medication dispensed expressed in narrative form where this cannot be handled by a structured expression., comment='30 tablets'., 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=/activities[at0001]/description[at0002]/items[at0129]/items[at0132], code=at0132, itemType=ELEMENT, level=3, text=Substitution permitted, description=Indicates whether or not the substitution of a prescribed medicine with a different brand name of the same medicine, vaccine or other therapeutic good, which has been determined as bioequivalent, is allowed when the medication is dispensed/supplied., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, 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