ARCHETYPE Medication use statement (openEHR-EHR-OBSERVATION.medication_statement.v0)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.medication_statement.v0
ConceptMedication use statement
DescriptionAn assertion about the current use of a single medication by an individual.
UseUse to record an assertion about the current use of a single medication by an individual at a specified point in time. In this medication statement context, ‘medication’ describes a wide range of items that may be prescribed or obtained 'over the counter'. This includes: - a single pharmaceutical item or agent; - an extemporaneous preparation; - a combination therapy product; - a nutritional product; or - another therapeutic item used to treat or prevent disease, such as a bandage or dressing containing an antimicrobial agent. It is anticipated that this archetype will commonly be used within an exchange context, for example as part of a health summary or transition of care summary, where one or more instances of this data group may be used to represent a ‘Current medication list’. For example: - on admission to hospital; - as part of a specialist referral; or - as the basis for a medication review. The source of information may be an individual, their carer or a clinician. This archetype has been designed to align with INSTRUCTION.medictation or ACTION.medication_management, where possible. However, it has been constrained to represent only essential information necessary for exchange or summary purposes, plus the addition of event-based data elements such as the ‘Last administered’ data element to support a seamless transition of care. Record one instance of this archetype per medication or combination pack. If the same medication is being used in different dose amounts or varying dose frequencies, each unique dosage and frequency variation should be recorded as a separate instance. This archetype should only be considered up-to-date at the time of authoring. This archetype has been designed to align with the FHIR MedicationStatement resource but is intentionally constrained to 'current use', rather than past or future use.
MisuseNot to be used to record summary or persistent information about past use of a medication - use EVALUATION.medication_summary for this purpose. Not to be used to record details about a medication order - use INSTRUCTION.medication_order for this purpose. Not to be used to record details about specific medication related activities, such as administration or dispensing - use ACTION.medication for this purpose. Not to be used to create a framework for recording answers to pre-defined screening questions about the use of any specified medication or grouping of medications - use OBSERVATION.medication_screening for this purpose. Not to be used to represent a vaccination that has been administered - use an appropriate archetype for this purpose. Not to be used to record information about medical devices that are used or implanted.
PurposeTo record an assertion about the current use of a single medication by an individual at a specified point in time.
ReferencesMedicationStatement, HL7 FHIR Resource [Internet]. Health Level Seven International; [accessed 2024 Jan 30]. Available from: https://hl7.org/fhir/R5/medicationstatement.html.
Copyright© openEHR Foundation
AuthorsAuthor name: Heather Leslie
Organisation: Atomica Informatics
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2020-08-26
Other Details LanguageAuthor name: Heather Leslie
Organisation: Atomica Informatics
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2020-08-26
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, references=MedicationStatement, HL7 FHIR Resource [Internet]. Health Level Seven International; [accessed 2024 Jan 30]. Available from: https://hl7.org/fhir/R5/medicationstatement.html., original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=AA0BE8C0835250EE579F834B51A6633C, build_uid=c4e8c89d-fafe-4384-819a-0934b3d4abcb, revision=0.0.1-alpha}
Keywordsstatement, snapshot
Lifecyclein_development
UID3c3cd4d6-8573-4376-b843-e9c0ab6ab74e
Language useden
Citeable Identifier1013.1.4949
Revision Number0.0.1-alpha
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  • German: Natalia Strauch, Darin Leonhardt, Medizinische Hochschule Hannover, PLRI für medizinische Informatik/ Medizinische Hochschule, Strauch.Natalia@mh-hannover.de, leonhardt.darin@mh-hannover.de
  • Norwegian Bokmål: Marit Alice Venheim, John Tore Valand, Hanne Marte Bårholm, Helse Vest IKT, Helse Bergen, marit.alice.venheim@helse-vest-ikt.no, john.tore.valand@helse-vest-ikt.no, hanne.marte.sandal.barholm@helse-vest-ikt.no
  • Dutch: Joost Holslag, Nedap, joost.holslag@nedap.com, MD
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openEHR-EHR-CLUSTER.timing_daily.v1 and specialisations or
openEHR-EHR-CLUSTER.timing_nondaily.v1 and specialisations or
openEHR-EHR-CLUSTER.therapeutic_direction.v1 and specialisations or
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  •  Date/Time
  •  Coded Text
    • Indefinite [There is no proposed end date for this medication.]
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