ARCHETYPE Medication list (openEHR-EHR-SECTION.medication_list.v0)

ARCHETYPE IDopenEHR-EHR-SECTION.medication_list.v0
ConceptMedication list
DescriptionFramework for consistent modelling of content within a template for a Medication list.
UseUse as a framework and suggested design guidance for consistent modelling of content within a template for an Medication list. This archetype is intended to be used within the COMPOSITION.medication_list or as one component of other COMPOSITION archetypes. For example: complex documents, such as a discharge summary or referral. This list can be comprised of three types of statements, each represented by specific archetypes: - statements about the positive use of medications can be recorded using multiple instances of the INSTRUCTION.medication_order; OR - statements about the positive exclusion of use of medications can be recorded using the specific EVALUATION.exclusion-global - for example: 'No known adverse reactions'; OR - statements about no information being available - neither a positive use of medications nor a positive exclusion - can be recorded using the EVALUATION.absence archetype.. Statements about the absence of medication orders, either general or specific, can only indicate the state of the subject at the time that the information was actually recorded - that is, they are event based. It is not sensible to persist the recording of a positive absence of a medication order as it may subsequently be ordered or self-administered by the patient, which may render any or all previous positive statements of absence obsolete. INSTRUCTION.medication is suggested as the best archetype to represent a Medication list in this instance as it generally provides the best representation of a local Current Medication List. Clinicians can enter patient-administered medications or 'over the counter' medications into a Prescribing system as INSTRUCTIONs, which in turn can enable adverse reaction checking against all INSTRUCTIONS, whether prescribed/printed or not. So Current Medication lists can effectively contain all orders for medications, given by both the recording clinician, other clinicians and the patient. An alternative form of the Medication list comprising only ACTIONs can be used represent only those medication that have been prescribed/printed by the recording clinician.
PurposeTo provide a framework and design guidance for consistent modelling of content within a template for a Medication list.
References
Copyright© openEHR Foundation
AuthorsAuthor name: Heather Leslie
Organisation: Atomica Informatics
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2010-03-07
Other Details LanguageAuthor name: Heather Leslie
Organisation: Atomica Informatics
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2010-03-07
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=, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=D9A0BF65B696B4A73E68E4F2A7D6C74F, build_uid=29ba71d4-6666-4306-8a3b-71897754b27b, revision=0.0.1-alpha}
Keywordsmedication, exclusion, absence, current, list
Lifecyclein_development
UIDa6a9df29-a1b7-4445-a2e7-596b0a71d3a4
Language useden
Citeable Identifier1013.1.609
Revision Number0.0.1-alpha
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Framework for consistent modelling of content within a template for a Medication list., archetypeConceptComment=null, otherContributors=Ian McNicoll, Ocean Informatics, United Kingdom
Heath Frankel, Ocean Informatics, Australia, originalLanguage=en, translators=Russian: Art Latyp; Латыпов Артур Шамилевич, RusBITech; РусБИТех, Москва, alatypov@asteis.net, hmm
Spanish (Argentina): Alan March, Hospital Universitario Austral, Pilar, Buenos Aires, Argentina., alandmarch@gmail.com, MD
Portuguese (Brazil): Adriana Kitajima, Débora Farage, Fernanda Maia, Laíse Figueiredo, Marivan Abrahão, Core Consulting, contato@coreconsulting.com.br, Hospital Alemão Oswaldo Cruz (HAOC)
Spanish (Spain): Pablo Pazos, CaboLabs, Computer Engineer, Pablo,Pazos@Cabolabs.Com: pablo,pazos@cabolabs.com
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openEHR-EHR-INSTRUCTION.medication_order.v2 and specialisations or
openEHR-EHR-ACTION.medication.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0005], code=at0005, itemType=SLOT, level=1, text=Exclusion statement, description=A positive statement about the exclusion of the use of medications., comment=For example: "No known use of medication"., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ENTRY, bindings=null, values=Include:
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openEHR-EHR-INSTRUCTION.medication_order.v2 and specialisations or
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openEHR-EHR-EVALUATION.exclusion_global.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006], code=at0006, itemType=SLOT, level=1, text=Absence statement, description=A positive statement that no information is available about the use of medications., comment=For example: "No information available about use of medications"., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ENTRY, bindings=null, values=Include:
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