TEMPLATE Medication order item R1 (Medication order item R1)

TEMPLATE IDMedication order item R1
ConceptMedication order item R1
DescriptionNot Specified
PurposeNot Specified
References
Authorsname: Heather Leslie; organisation: Atomica Informatics; email: heather.leslie@atomicainformatics.com; date: 2020-04-09
Other Details Languagename: Heather Leslie; organisation: Atomica Informatics; email: heather.leslie@atomicainformatics.com; date: 2020-04-09
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, PARENT:MD5-CAM-1.0.1=E6B520A25FDC09E5512C6BBA08FD8218, original_language=ISO_639-1::en, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=09d757bc9b4274f5f1f2ebd523cbe48b}
Language useden
Citeable Identifier1013.26.341
AllOperationalTemplate [rootArchetypeId=openEHR-EHR-INSTRUCTION.medication_order.v2, otherContributors=null, tshis=[ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2], code=at0000, itemType=INSTRUCTION, level=0, text=Medication order, description=An order for a medication, vaccine, nutritional product or other therapeutic item for an identified individual., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=INSTRUCTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001], code=at0001, itemType=ACTIVITY, level=1, text=Order, description=Details of the requested order., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ACTIVITY, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002], code=at0002, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, text=Description, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[at0070], code=at0070, itemType=ELEMENT, level=3, text=Medication item, description=Name of the medication, vaccine or other therapeutic/prescribable item being ordered., comment=Depending on the prescribing context this field could be used for either generic- or product-based prescribing. This data field can be used to record tightly bound orders of different medications when they are prescribed as a single pack. It is strongly recommended that the 'Medication item' be coded with a terminology capable of triggering decision support, where possible. The extent of coding may vary from the simple name of the medication item through to structured details about the actual medication pack to be used. Free text entry should only be used if there is no appropriate terminology available., 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=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[at0091], code=at0091, itemType=ELEMENT, level=3, text=Route, description=The route by which the ordered item is to be administered into the subject's body., comment=For example: 'oral', 'intravenous', or 'topical'. Coding of the route with a terminology is preferred, where possible. Multiple potential routes may be specified., 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=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[at0092], code=at0092, itemType=ELEMENT, level=3, text=Body site, description=Name of the site of administration of the ordered item., comment=For example: 'left upper arm', 'intravenous catheter right hand'. Coding of the body site with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[at0094], code=at0094, itemType=ELEMENT, level=3, text=Administration method, description=The technique or device by which the ordered item is to be administered., comment=For example: ' via Z-track injection'; 'via nebuliser'. Coding of the method with a 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=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[at0009], code=at0009, itemType=ELEMENT, level=3, text=Overall directions description, description=Complete narrative description about how the ordered item is to be used., comment=This narrative should normally subsume data captured in 'Dose amount', 'Dose timing' and any additional instructions for use. Where the medication dose directions are fully carried by the structured, computable dose directions, this element should carry the narrative equivalent, generally auto-generated. If it is not possible to represent the intended 'Dose direction' fully in computable form, partial representation is not recommended, and the directions should be only recorded in narrative form using this data element., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[at0047], code=at0047, itemType=ELEMENT, level=3, text=Parsable directions, description=A parsable, computable text representation of the directions., comment=Generally this is only used when passing information between legacy systems. For example: '10mg bd; 20mg n' as used by the NHS Dose syntax (in development)., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_PARSABLE, bindings=null, values=Formalism
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, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[at0173], code=at0173, itemType=ELEMENT, level=3, text=Specific directions description, description=A narrative description of a specific part of overall directions., comment=In some settings, it is common to split overall narrative directions into more specific segments of narrative. For example in hospital settings, it can be common to split the overall directions into 'Dose amount' and 'Dose timing', both as narrative text. These terms can be applied at template or run-time., 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=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[at0174], code=at0174, itemType=ELEMENT, level=3, text=Dosage justification, description=A description of the justification used to calculate a dose amount or administration rate where this is dependent on some other factor., comment=For example: 'Adjusted for amputation'., 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=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[at0062], code=at0062, itemType=CLUSTER, level=3, text=Medication safety, description=Details about medication safety for the ordered item., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[at0062]/items[at0064], code=at0064, itemType=ELEMENT, level=4, text=Exceptional safety override?, description=Confirmation by the prescriber that the normal dose or other safety limit has been overridden due to exceptional circumstances., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[at0062]/items[at0178], code=at0178, itemType=CLUSTER, level=4, text=Safety override, description=Overriding of a known or recognised safety issue which applies to this subject and the ordered item, such as an allergy, drug duplication warning or contraindication., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[at0062]/items[at0178]/items[at0171], code=at0171, itemType=ELEMENT, level=5, text=Overriden safety advice, description=A known or recognised safety issue which applies to this subject and the ordered item, such as an allergy, drug duplication warning or contraindication. This element is normally only recorded when this safety advice is overridden., comment=For example: 'Allergic to penicillin', 'Atenolol duplicated'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[at0062]/items[at0178]/items[at0162], code=at0162, itemType=ELEMENT, level=5, text=Override reason, description=The reason for a clinical safety or maximum dose override., comment=For example: 'Not responsive at maximum recommended dose. Critical situation.', 'Peniciilin is only valid treatment, likelihood of true penicillin allergy is low'., 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=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[at0062]/items[at0051], code=at0051, itemType=CLUSTER, level=4, text=Maximum dose, description=Details about the maximum, cumulative dose allowed over a defined period for the ordered item., comment=For example: 'up to 1gram per day'. This cluster allows multiple occurrences to enable representation of multiple maximum doses that apply to different time periods. Lifetime maximum dose should not be carried here as it refers to multiple orders over time., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[at0062]/items[at0051]/items[at0130], code=at0130, itemType=ELEMENT, level=5, text=Maximum amount, description=The maximum, cumulative amount of medication which should be administered within the allowed period. The unit for this amount is carried in Maximum amount unit., comment=For example: 1, 1.5, 0.125., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=>=0 , extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[at0062]/items[at0051]/items[at0146], code=at0146, itemType=ELEMENT, level=5, text=Maximum amount unit, description=The unit for the maximum amount allowed., comment=For example: 'tablet','mg'. Coding of the dose unit with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[at0062]/items[at0051]/items[at0053], code=at0053, itemType=ELEMENT, level=5, text=Allowed period, description=The period of time during which the maximum dose is calculated., comment=Example: 24 hours., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=>=PT0S, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[at0062]/items[at0150], code=at0150, itemType=CLUSTER, level=4, text=Total daily effective dose, description=Details about the total daily amount of the ordered item expected to be administered., comment=The total daily dose records the expected effective dose, and thus support titration of an initial low dose towards the effective dose over a period of time. This is not itself the target dose or goal but the actual effective daily dose against that goal. In some circumstances the Total daily dose will be calcuable from computable directions, in others it may need to be manually entered., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[at0062]/items[at0150]/items[at0165], code=at0165, itemType=ELEMENT, level=5, text=Purpose, description=Description of the reason for recording a total daily effective dose., comment=For example: 'Hypertension control', 'Target dose 20mg daily'. The description could be used to identify a name, phrase or paragraph about the purpose for recording total daily effective dose, commonly to allow to titration towards a specific target dose. The goal or target dose might be recorded here or more commonly as part of a linked EVALUATION 'Goal' archetype., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[at0062]/items[at0150]/items[at0151], code=at0151, itemType=ELEMENT, level=5, text=Total daily amount, description=The amount of ordered item which will be taken each day if administered as intended., comment=For example '20mg'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=>=0 , extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[at0062]/items[at0150]/items[at0152], code=at0152, itemType=ELEMENT, level=5, text=Total daily amount unit, description=The dose unit associated with the total daily amount., comment=The dose units are normally scientific units such as mg, ml rather than 'tablets'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[at0044], code=at0044, itemType=ELEMENT, level=3, text=Additional instruction, description=An additional instruction on how to use or store the ordered item., comment=For example: precautions as 'take with food', 'Avoid grapefruit', 'Dissolve in water', 'store in a cool, dry place'. This data element allows multiple occurrences and should be coded with a reference terminology, 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=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[at0105], code=at0105, itemType=ELEMENT, level=3, text=Patient information, description=An additional instruction directed primarily at the individual/patient or carers., comment=For example: 'To reduce your blood pressure', 'To thin your blood'. This data element allows multiple occurrences and should be coded with a reference terminology, where possible. If required it is possible to use a LINK attribute to associate this element with, for example, the 'original diagnosis' in a separate Problem list composition but the indication should be explicitly recorded here, as the link target may change over time., 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=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[at0107], code=at0107, itemType=ELEMENT, level=3, text=Monitoring instruction, description=An additional instruction which gives advice on recommended or required monitoring of the ordered item., comment=For example: 'Please check renal function in 2 weeks'. This data element allows multiple occurrences., 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=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[at0018], code=at0018, itemType=ELEMENT, level=3, text=Clinical indication, description=The clinical reason for use of the ordered item., comment=For example: 'Angina'. Coding of the clinical indication with a terminology is preferred, where possible. This data element allows multiple occurrences. It is not intended to carry an indication for administrative authorisation purposes., 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=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[at0148], code=at0148, itemType=ELEMENT, level=3, text=Therapeutic intent, description=The overall therapeutic intent of the ordered item., comment=For example: 'pain relief'; 'palliative care'; 'low-dose prophylaxis'; 'rehydration'; 'nutritional infusion'., 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=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[at0113], code=at0113, itemType=CLUSTER, level=3, text=Order details, description=Details about the whole medication order., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[at0113]/items[at0012], code=at0012, itemType=ELEMENT, level=4, text=Order start date/time, description=The date and optional time to commence use of the ordered item., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[at0113]/items[at0013], code=at0013, itemType=ELEMENT, level=4, text=Order stop date/time, description=The date and optional time when it is planned to cease use of the ordered item., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[at0113]/items[at0011], code=at0011, itemType=ELEMENT, level=4, text=Order start criterion, description=A condition which, when met, requires the commencement of administration or use., comment=For example: 'Start if symptoms recur'. This is intended for a general pre-condition which should trigger the whole medication course to be started, and not for 'as required' administrations of an ongoing order., 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=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[at0113]/items[at0016], code=at0016, itemType=ELEMENT, level=4, text=Order stop criterion, description=A condition which, when met, requires the cessation of administration or use., comment=For example: 'Stop after symptoms disappear''., 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=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[at0113]/items[at0060], code=at0060, itemType=ELEMENT, level=4, text=Administrations completed, description=The number of administrations of the ordered item that have been completed, as part of the intended whole order but prior to the issuance of this order., comment=For example: To record that the patient has taken the two first antibiotic tablets of a three day course, prior to discharge from the hospital to a nursing home., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=>=0, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[at0113]/items[at0050], code=at0050, itemType=ELEMENT, level=4, text=Duration of order completed, description=The time period during which the individual/patient has already been using the ordered item as a part of the intended whole order but prior to the issuance of this order., comment=For example: To record that the patient had been taking antibiotics 3 days prior to hospital admission, in the context of a 7 day course., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=>=PT0H
Units:
  • Week
  • Day
  • Hour
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[at0129], code=at0129, itemType=CLUSTER, level=3, text=Dispense directions, description=Directions about the dispensing of the ordered item., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[at0129]/items[at0106], code=at0106, itemType=ELEMENT, level=4, text=Dispense instruction, description=An additional instruction directed primarily at the person dispensing the ordered item., comment=Example: Detailed instructions for phased dispensing of opiates., 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=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[at0129]/items[at0132], code=at0132, itemType=ELEMENT, level=4, text=Substitution direction, description=Permission for substitution with a bioequivalent item., comment=In many jurisdictions, substitution of an ordered item as a generic form or with a different brand name, which has been determined as bioequivalent, is allowed at the point of dispense or supply. In other cases substitution is assumed and the clinician has to explicitly request non-substitution., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • PermittedĀ 
  • Not permittedĀ 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[at0129]/items[at0154], code=at0154, itemType=ELEMENT, level=4, text=Non-substitution reason, description=The reason why an ordered item should not be substituted at dispense., comment=For example 'Generic preparation not bio-equivalent'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[at0129]/items[at0139], code=at0139, itemType=ELEMENT, level=4, text=Priority, description=An indicator of the urgency with which the ordered item should be dispensed., comment=For example 'Urgent'. This is left to be templated or specialised according to local valuesets. Some jurisdictions allow instructions to dispense to be marked as 'urgent' so that the dispensary handles them quickly., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[at0129]/items[at0155], code=at0155, itemType=ELEMENT, level=4, text=Dispensing start date, description=The date from which the ordered item is permitted to be dispensed for the first time., comment=May be used to control the time of dispensing of medications with potential for abuse. For example: benzodiazepines or analgesics., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[at0129]/items[at0161], code=at0161, itemType=ELEMENT, level=4, text=Dispensing expiry date, description=The date after which the ordered item is no longer valid to be legally dispensed., comment=In some jurisdictions, orders to dispense may have an expiry date after which the prescription may not be dispensed., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/activities[at0001]/description[at0002]/items[at0167], code=at0167, itemType=ELEMENT, level=3, text=Comment, description=Additional narrative about the medication order not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/protocol[at0005], code=at0005, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=1, text=Protocol, description=The amount and units of the medication, vaccine or other therapeutic good to be used or administered at one time., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-INSTRUCTION.medication_order.v2]/protocol[at0005]/items[at0004], code=at0004, itemType=ELEMENT, level=2, text=Order identifier, description=Unique identifier for the medication order., comment=This data element allows for multiple occurrences to be defined more explicitly at run-time, if required., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_IDENTIFIER, bindings=null, values=, extendedValues=null]], templateType=normal]