ARCHETYPE Medication summary (openEHR-EHR-EVALUATION.medication_summary.v0)

ARCHETYPE IDopenEHR-EHR-EVALUATION.medication_summary.v0
ConceptMedication summary
DescriptionSummary or persistent information about all use of a single medication by an individual.
UseUse to record summary information about all use of a single medication by an individual, including details about each episode and cumulative use. The term 'Medication summary' is often used to describe several different types of lists or synopses of all medications that an individual is, or has, been taking. This archetype has been designed to represent an overview of all use of a single medication. Use a new instance of this archetype to record details about each medication. Triggers for closing one episode and commencing a new one will largely reflect local data collection preferences and clinical priorities, including if the individual: - stops using the medication for a significant period of time (which will likely be locally defined); or - significantly changes their amount or pattern of use.
MisuseNot to be used to represent a medication within a 'Medication list' - use either an INSTRUCTION.medication_order or ACTION.medication for this purpose. Not to be used for recording an order for a medication to be administered or consumed - use INSTRUCTION.medication_order for this purpose. Not to be used for documenting the actual administration or consumption of a medication - use ACTION.medication for this purpose. Not to be used for recording the status of use or screening question/answer pairs regarding the medication - use OBSERVATION.medication_screening for this purpose. Not to be used to record an observation about the use of a medication - use OBSERVATION.medication_statement for this purpose. Not to be used for medication reconciliation.
PurposeTo record summary information about all use of a single medication by an individual.
References
Copyright© openEHR Foundation
AuthorsAuthor name: Heather Leslie
Organisation: Ocean Informatics
Email: heather.leslie@oceaninformatics.com
Date originally authored: 2015-12-08
Other Details LanguageAuthor name: Heather Leslie
Organisation: Ocean Informatics
Email: heather.leslie@oceaninformatics.com
Date originally authored: 2015-12-08
OtherDetails Language Independent{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/., custodian_organisation=openEHR Foundation, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=1F2220C3951EF4F68E0C865B28894D00, build_uid=fc62bbf1-a436-41dd-a170-21e2f0bfbf27, revision=0.0.1-alpha}
Keywordsdrug, lifelong, medication, self-medicate, medicine, history, lifetime
Lifecyclein_development
UIDbaca045c-2114-4cbe-8918-bda7ee772c67
Language useden
Citeable Identifier1013.1.2825
Revision Number0.0.1-alpha
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Summary or persistent information about all use of a single medication by an individual., archetypeConceptComment=null, otherContributors=Ulrich Andersen, Denmark
Vebjørn Arntzen, Oslo University Hospital, Norway (openEHR Editor)
Silje Ljosland Bakke, Helse Vest IKT AS, Norway (openEHR Editor)
SB Bhattacharyya, Sudisa Consultancy Services, India
Colin Brown, NHS Scotland SCIMP, United Kingdom
Greg Burch, Tiny Medical Apps, United Kingdom
James Goddard, NHS Wales Informatics Service, United Kingdom
Heather Grain, Llewelyn Grain Informatics, Australia
Joost Holslag, Nedap, Netherlands
Evelyn Hovenga, EJSH Consulting, Australia
Tomi Laptoš, Marand, Slovenia
Heather Leslie, Atomica Informatics, Australia (openEHR Editor)
Ian McNicoll, freshEHR Clinical Informatics, United Kingdom (openEHR Editor)
Natalia Strauch, Medizinische Hochschule Hannover, Germany
Norwegian Review Summary, Nasjonal IKT HF, Norway
Rowan Thomas, St. Vincent's Hospital Melbourne, Australia
John Tore Valand, Helse Bergen, Norway (openEHR Editor)
Marit Alice Venheim, Helse Vest IKT, Norway, originalLanguage=en, translators=German: Ramona Wellmann, Alina Rehberg, Natalia Strauch, Medizinische Hochschule Hannover, wellmann.ramona@mh-hannover.de, rehberg.alina@mh-hannover.de, Strauch.Natalia@mh-hannover.de
Norwegian Bokmål: Gro-Hilde Ulriksen, John Tore Valand, Liv Laugen, Vebjørn Arntzen, Norwegian centre for e-health research, Helse Bergen, ​Oslo University Hospital, Norway, john.tore.valand@helse-bergen.no, liv.laugen@ous-hf.no, varntzen@ous-hf.no
Portuguese (Brazil): Adriana Kitajima, Débora Farage, Fernanda Maia, Laíse Figueiredo, Marivan Abrahão, Core Consulting, contato@coreconsulting.com.br, Hospital Alemão Oswaldo Cruz (HAOC)
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For example: 'Zinacef 750 mg powder' or 'cefuroxim'. , 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=/data[at0001]/items[at0007], code=at0007, itemType=ELEMENT, level=2, text=Clinical description, description=Narrative description about the use of the medication., 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=/data[at0001]/items[at0028], code=at0028, itemType=ELEMENT, level=2, text=Clinical indication, description=The overall clinical indication for the use of the medication., comment=Coding with an external terminology is preferred, where possible., 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=/data[at0001]/items[at0009], code=at0009, itemType=ELEMENT, level=2, text=Onset of use, description=The date when the medication was first used., comment=Can be a partial date, for example, only a year., 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=/data[at0001]/items[at0008], code=at0008, itemType=CLUSTER, level=2, text=Episode, description=Details about use of the medication during a specified period of time., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0008]/items[at0011], code=at0011, itemType=ELEMENT, level=3, text=Episode onset, description=The date of onset for this episode., comment=Can be a partial date, for example, only a year., 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=/data[at0001]/items[at0008]/items[at0018], code=at0018, itemType=ELEMENT, level=3, text=Episode indication, description=The clinical indication for the use of the medication during this episode, particularly if this is more specific or differs from the 'Clinical indication', or there is no clinical indication that applies for all episodes., comment=Coding with an external terminology is preferred, where possible. For example: shingles; acute urine infection or chronic pyelonephritis., 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=/data[at0001]/items[at0008]/items[at0020], code=at0020, itemType=ELEMENT, level=3, text=Therapeutic intent, description=The therapeutic intent for use of the medication during this episode., comment=Coding with an external terminology, where possible. 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  •  Quantity
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0008]/items[at0029], code=at0029, itemType=SLOT, level=3, text=Additional details, description=Additional details about medication use during this episode., 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.dosage(-[a-zA-Z0-9_]+)* or
openEHR-EHR-CLUSTER.medication(-[a-zA-Z0-9_]+)*, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0008]/items[at0012], code=at0012, itemType=ELEMENT, level=3, text=Episode cessation, description=The date of cessation of use of this medication for this episode., comment=Can be a partial date, for example, only a year., 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=/data[at0001]/items[at0008]/items[at0013], code=at0013, itemType=ELEMENT, level=3, text=Reason for cessation, description=The reason why use of the medication was stopped., comment=Coding with an external terminology is preferred, where possible. For example: sub-optimal control of diabetes; adverse reaction; or high cost., 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=/data[at0001]/items[at0008]/items[at0022], code=at0022, itemType=ELEMENT, level=3, text=Treatment outcome, description=The observed response to the treatment with this medication during this episode., comment=Coding with an external terminology is preferred, where possible. For example: UTI resolved, 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=/data[at0001]/items[at0015], code=at0015, itemType=ELEMENT, level=2, text=Cumulative dose, description=Total amount of the medication used over the lifetime of the individual., comment=May be manually calculated or derived via the EHR from multiple sources. , uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0010], code=at0010, itemType=ELEMENT, level=2, text=Cessation of use, description=The date when the medication was last used., comment=Can be a partial date, for example, only a year., 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=/data[at0001]/items[at0027], code=at0027, itemType=ELEMENT, level=2, text=Cumulative duration, description=The sum of the duration of all episodes., comment=May be manually calculated or derived via the EHR from multiple sources., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=>=0 seconds
, extendedValues=null]], identities=[], activities=[], other_participations=[], credentials=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0005]/items[at0006], code=at0006, itemType=ELEMENT, level=2, text=Last updated, description=The date this medication summary was last updated., 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=/protocol[at0005]/items[at0019], code=at0019, itemType=SLOT, level=2, text=Extension, description=Additional information required to extend the model with local content or to align with other reference models or formalisms., comment=For example: local information requirements; or additional metadata to align with FHIR., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
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