ARCHETYPE Medication order (openEHR-EHR-INSTRUCTION.medication_order.v0)

ARCHETYPE IDopenEHR-EHR-INSTRUCTION.medication_order.v0
ConceptMedication order
DescriptionDetails of a medicine, vaccine or other therapeutic good with instructions for use.
UseFor 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.
MisuseNot 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.
PurposeRecording intent to use or to continue to use a medicine, vaccine or other therapeutic good including instructions on use, dispensing and administration, where neccessary.
ReferencesopenEHR 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.
AuthorsAuthor name: Sam Heard
Organisation: NEHTA
Email: sam.heard@oceaninformatics.com
Date originally authored: 2015-10-21
Other Details LanguageAuthor 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}
Keywordsmedication, order, prescribe, therapy, substance, drug, therapeutic, otc, therapeutic good
Lifecyclein_development
UID32802688-cbff-4d61-970d-da85810e6a07
Language useden
Citeable Identifier1013.1.1445
Revision5
Revision Number0.0.1-alpha
AllArchetype [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_preparation.v0 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0091], code=at0091, itemType=ELEMENT, level=2, text=Route, description=The route of administration., comment=e.g. 'oral', íntravenous', 'topical'., 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[at0009], code=at0009, itemType=ELEMENT, level=2, text=Dose directions description, description=A complete narrative description of how much, when and how to use the medicine, vaccine or other therapeutic good., comment=** Something around matching the computable form, 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[at0047], code=at0047, itemType=ELEMENT, level=2, text=Parsable dose directions, description=A structured, parsable and computable representation of the dose directions. Generally only used when passing information between legacy systems., comment=e.g. '10mg bd; 20mg n' as used by the NHS Dose syntax ( in development)., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_PARSABLE, bindings=null, values=Formalism: text/html, text/plain, text/xml, text/rtf
, 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:
  •  Quantity
    Property: Qualified real
    Units: >=0.0
  •  Interval of Quantity
    Lower: Property: Qualified real
    Units: >=0.0

    Upper: Property: Qualified real
    Units: >=0.0
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0056]/items[at0058]/items[at0145], code=at0145, itemType=ELEMENT, level=4, text=Dose unit, description=The dose unit of the amount of medication., 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[at0056]/items[at0058]/items[at0037], code=at0037, itemType=SLOT, level=4, text=Dose timing, description=Structured details of the timing of a single use or administration., comment=e.g. 'in the morning', 'at 0600 1400 2100'., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.daily_timing.v0 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0056]/items[at0066], code=at0066, itemType=ELEMENT, level=3, text=Direction duration, description=The duration for which this direction should be continued., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
  •  Coded Text
    • Indefinite [The direction should be continued indefinitely.]
    • Indefinite - Do not discontinue [The direction should be continued indefinitely and discontinuation is not recommended.]
  •  Duration
    >=0 seconds
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0056]/items[at0090], code=at0090, itemType=SLOT, level=3, text=Direction repetition, description=Details of the days on which each set of dose directions should be applied., comment=e.g. 'every 3 days', 'on Thursdays and Sundays', '3 days after onset of menstruation'., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.timing_repetition.v0 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0062], code=at0062, itemType=CLUSTER, level=2, text=Medication safety, description=Medication safety details of the medicine, vaccine or other therapeutic good., 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], code=at0051, itemType=CLUSTER, level=3, text=Maximum dose, description=Details of maximum dose allowed over a defined period., comment=Multiple maximum doses may be specified for different time periods., 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[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[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:
  •  Quantity
    Property: Flow rate, volume
    Units:
    • >=0.0 l/h
    • >=0.0 ml/min
    • >=0.0 ml/s
    • >=0.0 ml/h
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0133]/items[at0136], code=at0136, itemType=ELEMENT, level=3, text=Infusion purpose, description=The purpose of the infusion., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Baseline electrolyte infusion [The infusion provides baseline hydration.]
  • Active medication infusion [The infusion carries an active pharrmaceutical ingredient.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0133]/items[at0092], code=at0092, itemType=ELEMENT, level=3, text=Site, description=The anatomical site of administration., comment=e.g. 'left upper arm', 'intravenous catheter right hand'., 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[at0133]/items[at0093], code=at0093, itemType=SLOT, level=3, text=Structured body site, description=Detailed anatomical site of administration., 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.anatomical_location.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0133]/items[at0094], code=at0094, itemType=ELEMENT, level=3, text=Delivery method, description=The method by which the medicine is to be delivered., comment=e.g. 'via nebuliser'., 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[at0095], code=at0095, itemType=SLOT, level=3, text=Delivery device, description=Details of any device used to aid delivery of the medicine., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
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, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/activities[at0001]/description[at0002]/items[at0129]/items[at0139], code=at0139, itemType=ELEMENT, level=3, text=Priority, description=An indicator for the urgency with which the medication should be dispensed., 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[at0065], code=at0065, itemType=SLOT, level=3, text=Dispensing details, description=Further structured details of dispensing 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[at0069], code=at0069, itemType=SLOT, level=2, text=Authorisation details, description=Details of authorisation of the medicine, vaccine or other therapeutic good, including details of repeat supply., comment=Medicine authorisation and re-authorisation requirements vary in different jurisdictions., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.medication_authorisation.v0 and specialisations, extendedValues=null]], identities=[], capabilities=[], provider=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0005]/items[at0004], code=at0004, itemType=ELEMENT, level=2, text=Order identifier, description=Unique identifier for the medication order., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_IDENTIFIER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0005]/items[at0135], code=at0135, itemType=ELEMENT, level=2, text=Dosage formula, description=The formula used to calculate the Dose amount or administration rate where this is dependent on some other factor such as patient weight e.g. 10mg/kg/day., 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=/protocol[at0005]/items[at0008], code=at0008, itemType=SLOT, level=2, text=Extension, description=Additional information required to capture local content or to align with other reference models/formalisms., comment=For example: local information requirements or additional metadata to align with FHIR or CIMI equivalents., 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]], content=[], source=[], credentials=[], events=[], data=[], contacts=[], ism_transition=[], details=[], relationships=[], state=[], target=[], other_participations=[]}, topLevelItems={protocol=ResourceSimplifiedHierarchyItem [path=ROOT_/protocol[at0005], code=at0005, itemType=ITEM_TREE, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], activities=ResourceSimplifiedHierarchyItem [path=ROOT_/activities[at0001], code=at0001, itemType=ACTIVITY, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=0..*, cardinalityText=Minimum of 0 items, subCardinalityFormal=null, subCardinalityText=null, dataType=ACTIVITY, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=protocol, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/protocol[at0005]/items[at0004], code=at0004, itemType=ELEMENT, level=2, text=Order identifier, description=Unique identifier for the medication order., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_IDENTIFIER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0005]/items[at0135], code=at0135, itemType=ELEMENT, level=2, text=Dosage formula, description=The formula used to calculate the Dose amount or administration rate where this is dependent on some other factor such as patient weight e.g. 10mg/kg/day., 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=/protocol[at0005]/items[at0008], code=at0008, itemType=SLOT, level=2, text=Extension, description=Additional information required to capture local content or to align with other reference models/formalisms., comment=For example: local information requirements or additional metadata to align with FHIR or CIMI equivalents., 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]], minIndents={}, termBindingRetrievalErrorMessage=null]