ARCHETYPE Dosage (openEHR-EHR-CLUSTER.dosage.v1)

ARCHETYPE IDopenEHR-EHR-CLUSTER.dosage.v1
ConceptDosage
DescriptionThe combination of a medication amount and administration timing for a single day, in the context of a medication order or medication management.
UseUse to record the combination of a medication amount and the administration timing for a single day, as part of a medication order or medication management or for other appropriate therapeutic/prescribable items. The timing pattern for a single day can be as simple as a single administration time, or multiple administration times with varying levels of complexity. Timing details which are not within a single day e.g weekly or monthly timings are carried in the CLUSTER 'Timing repetition' archetype carried within the CLUSTER 'Therapeutic direction' archetype. In the context of a therapeutic INSTRUCTION this archetype may be inserted into the 'Dosage administration' SLOT in the 'Therapeutic direction' CLUSTER to record the dose and timing details of the pattern of single intended administrations of a therapeutic item. In the context of an ACTION archetype insert this archetype directly into the 'Amount' SLOT to record the dose and timing of the actual administration of a therapeutic item. Specific administration start/stop times should be specified within a contained CLUSTER 'Timing - daily' archetype.
PurposeTo record the combination of a medication amount and the administration timing within a single day, as part of a medication order or medication management or for other appropriate therapeutic/prescribable items.
ReferencesMedication statement, [Internet]. Intermountain Healthcare. Available from http://www.opencem.org/#/20170613/Intermountain/MedicationStatement

Messaging Implementation Manual (GP2GP messages) [Internet], NHS Digital England. Available from: https://data.developer.nhs.uk/dms/mim/6.3.01/Domains/GP2GP/Document%20files/GP2GP%20IM.htm#_Toc_Section_7.2

Standards for the clinical structure and content of patient records (Complete document) [Internet]. PRSB London. [cited 2017 Aug 29]. Available from: http://theprsb.org/download/document/7-standards-for-the-clinical-structure-and-content-of-patient-records"
Copyright© openEHR Foundation
AuthorsAuthor name: Ian McNicoll
Organisation: freshEHR Clinical Informatics
Email: ian@freshehr.com
Date originally authored: 2017-03-21
Other Details LanguageAuthor name: Ian McNicoll
Organisation: freshEHR Clinical Informatics
Email: ian@freshehr.com
Date originally authored: 2017-03-21
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/., custodian_organisation=openEHR Foundation, references=Medication statement, [Internet]. Intermountain Healthcare. Available from http://www.opencem.org/#/20170613/Intermountain/MedicationStatement Messaging Implementation Manual (GP2GP messages) [Internet], NHS Digital England. Available from: https://data.developer.nhs.uk/dms/mim/6.3.01/Domains/GP2GP/Document%20files/GP2GP%20IM.htm#_Toc_Section_7.2 Standards for the clinical structure and content of patient records (Complete document) [Internet]. PRSB London. [cited 2017 Aug 29]. Available from: http://theprsb.org/download/document/7-standards-for-the-clinical-structure-and-content-of-patient-records", current_contact=Ian McNicoll, freshEHR Clinical Informatics, UK , original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=F6E4B66FCC94D0342D7CA5CEC250EAF3, build_uid=5c144ac0-07c9-40d3-9ee7-7c82316464e9, revision=1.0.2}
Keywordsmedication, order, prescribe, therapy, substance, drug, therapeutic, therapeutic good, pharmaceutical, product, posology, treatment, fluid, nutrition, timing, administration, dose
Lifecyclepublished
UIDac331b21-71f6-4ae5-950a-1a8d78c9f0c4
Language useden
Citeable Identifier1013.1.2751
Revision Number1.0.2
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=The combination of a medication amount and administration timing for a single day, in the context of a medication order or medication management., archetypeConceptComment=For example: '2 tablets at 6pm' or '20mg three times per day'. Please note: this cluster allows multiple occurrences to enable representation of a complete set of dose patterns for a single dose direction., otherContributors=Tomas Alme, DIPS ASA, Norway
Paula Anderson, UCLH, United Kingdom
Vebjørn Arntzen, Oslo University Hospital, Norway (openEHR Editor)
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
SBhusan Bhattacharyya, Sudisa Consultancy Services, India
Sharmila Biswas, Australia
Lars Bitsch-Larsen, Haukeland University hospital, Norway
Laila Bruun, Oslo universitetssykehus HF, Norway
Ruth Caudwell, retired, United Kingdom
Bjørn Christensen, Helse Bergen HF, Norway
Stephen Chu, NEHTA, Australia (Editor)
Matthew Cordell, NEHTA, Australia
Lisbeth Dahlhaug, Helse Midt - Norge IT, Norway
Robert Eager, Healthways, Australia
Gail Easterbrook, Flinders Medical Centre, Australia
David Evans, Queensland Health, Australia
Samuel Frade, Marand, Portugal
Hildegard Franke, freshEHR Clinical Informatics Ltd., United Kingdom
Sarah Gaunt, NEHTA, Australia
Mikkel Gaup Grønmo, FSE, Helse Nord, Norway
Heather Grain, Llewelyn Grain Informatics, Australia
Trina Gregory, cpc, Australia
Robert Hausam, Hausam Consulting LLC, United States
Sam Heard, Ocean Informatics, Australia (Editor)
Teresa Highway, Alberta Health Services, Canada
Annette Hole Sjøborg, DIPS ASA, Norway
Hilde Hollås, DIPS ASA, Norway
Alfred Honore, Haukeland, Norway
Evelyn Hovenga, EJSH Consulting, Australia
Lars Ivar Mehlum, Helse Bergen HF, Norway
Tom Jarl Jakobsen, Helse Bergen, Norway
Mary Kelaher, NEHTA, Australia
Nils Kolstrup, Skansen Legekontor og Nasjonalt Senter for samhandling og telemedisin, Norway
Robert L'egan, NEHTA, Australia
Russell Leftwich, Russell B Leftwich MD, United States
Heather Leslie, Ocean Health Systems, Australia (openEHR Editor)
Marit Ludvigsen, St Olavs Hospital, Norway
Colin Macfarlane, Elsevier, United Kingdom
Siv Marie Lien, DIPS ASA, Norway
Olof Mattsson, Region Skane, Sweden
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
Norwegian Review Summary, Nasjonal IKT HF, Norway
Cathy Richardson, NEHTA, Australia
Robyn Richards, NEHTA - Clinical Terminology, Australia
Anoop Shah, University College London, United Kingdom
Line Silsand, Universitetssykehuset i Nord-Norge, Norway
Sam Stokes, Citizen Scientist, United States
Iztok Stotl, UKCLJ, Slovenia
John Taylor, NEHTA, Australia
Nyree Taylor, Ocean Informatics, Australia
Rowan Thomas, St. Vincent's Hospital Melbourne, Australia
Richard Townley-O'Neill, NEHTA, Australia
Gro-Hilde Ulriksen, Norwegian center for ehealthresearch, Norway
John Tore Valand, Helse Bergen, Norway (openEHR Editor)
Ines Vaz, UFN, Portugal
Soon Ghee Yap, Singapore General Hospital, Singapore
Kylie Young, The Royal Australian College of General Practitioners, Australia, originalLanguage=en, translators=Norwegian Bokmål: Silje Ljosland Bakke, Nasjonal IKT HF
Portuguese (Brazil): Debora Farage, Fernanda Maia, Laíse Figueiredo, Core Consulting, contato@coreconsulting.com.br, Hospital Alemão Oswaldo Cruz (HAOC)
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, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0144], code=at0144, itemType=ELEMENT, level=1, text=Dose amount, description=The value of the amount of medication administered at one time, as a real number, or range of real numbers, and associated with the Dose unit., comment=For example: 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 1
  •  Interval of Quantity

    Lower: Property: Qualified real
    Units:
    • >=0.0 1

    Upper: Property: Qualified real
    Units:
    • >=0.0 1

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0145], code=at0145, itemType=ELEMENT, level=1, text=Dose unit, description=The unit which is associated with the Dose amount., comment=For example: 'tablet','mg'. Coding of the dose unit with a terminology is preferred, where possible., 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=/items[at0135], code=at0135, itemType=ELEMENT, level=1, text=Dose formula, description=The formula used to calculate the dose amount or administration rate where this is dependent on some other factor, such as body weight or surface area., comment=For example: '10mg/kg/day'. The result of this formula would normally be held in Dose amount/unit or Administration rate/duration. Where clinical measurements such as body weight is used in the dose calculation, a LINK attribute should used to specify which particular measurement has been used., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
  •  Text
  •  Quantity
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0178], code=at0178, itemType=ELEMENT, level=1, text=Dose description, description=Text description of the dose., comment=For example: "Apply ointment to affected area until it glistens". This element is intended to allow implementers to use the structures for increasing/tapering dosages without necessarily specifying the doses in a structured way., 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=/items[at0037], code=at0037, itemType=SLOT, level=1, text=Daily timing, description=Structured details about the timing pattern for a single day., comment=For example: 'in the morning', 'at 0600, 1400, 2100'., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.timing_daily.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0134], code=at0134, itemType=ELEMENT, level=1, text=Administration rate, description=The rate at which the medication, such as an infusion, is to be administered., comment=For example: '200 ml/h'. Use the text data type to record non- or semi-quantifiable instructions., 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=/items[at0102], code=at0102, itemType=ELEMENT, level=1, text=Administration duration, description=The period of time over which a single dose of the medication or vaccine should be administered., comment=For example: 'Administer over 10 minutes'., 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=/items[at0176], code=at0176, itemType=ELEMENT, level=1, text=Alternate dose amount, description=An alternate representation of the value of the amount of medication administered at one time, as a real number, or range of real numbers, and associated with the Dose unit., comment=For example, can be used to represent a unit-dose based value such as 'tabs', when the Dose amount is expressed as an SI unit such as 'mg', or where it is required to express the total amount of an infusion as well as the dose amount of the active ingredient., 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 1
  •  Interval of Quantity

    Lower: Property: Qualified real
    Units:
    • >=0.0 1

    Upper: Property: Qualified real
    Units:
    • >=0.0 1

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0177], code=at0177, itemType=ELEMENT, level=1, text=Alternate dose unit, description=The unit which is associated with the Alternate dose amount., 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]], capabilities=[], other_participations=[], contacts=[], target=[], data=[], relationships=[], state=[], protocol=[], activities=[], provider=[]}, topLevelItems={items=ResourceSimplifiedHierarchyItem [path=ROOT_/, code=at0000, itemType=CLUSTER, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=items, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/items[at0164], code=at0164, itemType=ELEMENT, level=1, text=Dosage sequence, description=The intended position of this dosage within the overall sequence of dosages., comment=For example: '1', '2', '3'. Where multiple dosages are expressed, the 'Pattern sequence' makes the order in which they should be executed explicit. For example: (1) 1 tab in the morning, (2) 2 tab at 2pm, (3) 1 tab at night., 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=/items[at0144], code=at0144, itemType=ELEMENT, level=1, text=Dose amount, description=The value of the amount of medication administered at one time, as a real number, or range of real numbers, and associated with the Dose unit., comment=For example: 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 1
  •  Interval of Quantity

    Lower: Property: Qualified real
    Units:
    • >=0.0 1

    Upper: Property: Qualified real
    Units:
    • >=0.0 1

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0145], code=at0145, itemType=ELEMENT, level=1, text=Dose unit, description=The unit which is associated with the Dose amount., comment=For example: 'tablet','mg'. Coding of the dose unit with a terminology is preferred, where possible., 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=/items[at0135], code=at0135, itemType=ELEMENT, level=1, text=Dose formula, description=The formula used to calculate the dose amount or administration rate where this is dependent on some other factor, such as body weight or surface area., comment=For example: '10mg/kg/day'. The result of this formula would normally be held in Dose amount/unit or Administration rate/duration. Where clinical measurements such as body weight is used in the dose calculation, a LINK attribute should used to specify which particular measurement has been used., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
  •  Text
  •  Quantity
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0178], code=at0178, itemType=ELEMENT, level=1, text=Dose description, description=Text description of the dose., comment=For example: "Apply ointment to affected area until it glistens". This element is intended to allow implementers to use the structures for increasing/tapering dosages without necessarily specifying the doses in a structured way., 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=/items[at0037], code=at0037, itemType=SLOT, level=1, text=Daily timing, description=Structured details about the timing pattern for a single day., comment=For example: 'in the morning', 'at 0600, 1400, 2100'., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.timing_daily.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0134], code=at0134, itemType=ELEMENT, level=1, text=Administration rate, description=The rate at which the medication, such as an infusion, is to be administered., comment=For example: '200 ml/h'. Use the text data type to record non- or semi-quantifiable instructions., 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:
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    • >=0.0 ml/min
    • >=0.0 ml/s
    • >=0.0 ml/h
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0102], code=at0102, itemType=ELEMENT, level=1, text=Administration duration, description=The period of time over which a single dose of the medication or vaccine should be administered., comment=For example: 'Administer over 10 minutes'., 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
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  •  Quantity
    Property: Qualified real
    Units:
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  •  Interval of Quantity

    Lower: Property: Qualified real
    Units:
    • >=0.0 1

    Upper: Property: Qualified real
    Units:
    • >=0.0 1

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0177], code=at0177, itemType=ELEMENT, level=1, text=Alternate dose unit, description=The unit which is associated with the Alternate dose amount., 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]], minIndents={}, termBindingRetrievalErrorMessage=null]