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openEHR-EHR-INSTRUCTION.medication_order.v1

1 Formulare  
  1. StudyEvent: openEHR-EHR-INSTRUCTION.medication_order.v1
    1. openEHR-EHR-INSTRUCTION.medication_order.v1
openEHR-EHR-INSTRUCTION.medication_order.v1.xml
Beschreibung

openEHR-EHR-INSTRUCTION.medication_order.v1.xml

Medication order
Beschreibung

An order for a medication, vaccine, nutritional product or other therapeutic item for an identified individual.

Datentyp

text

Alias
UMLS CUI [1]
C3242115
Order
Beschreibung

Details of the requested order.

Datentyp

text

Alias
UMLS CUI [1]
C1705178
Order identifier
Beschreibung

Unique identifier for the medication order.

Datentyp

text

Alias
UMLS CUI [1]
C0600091
Dose amount description
Beschreibung

The amount and units of the medication, vaccine or other therapeutic good to be used or administered at one time.

Datentyp

text

Alias
UMLS CUI [1]
C0178602
Overall directions description
Beschreibung

Complete narrative description about how the ordered item is to be used.

Datentyp

text

Alias
UMLS CUI [1]
C1720622
Order start criterion
Beschreibung

A condition which, when met, requires the commencement of administration or use.

Datentyp

text

Order start date/time
Beschreibung

The date and optional time to commence use of the ordered item.

Datentyp

datetime

Order stop date/time
Beschreibung

The date and optional time when it is planned to cease use of the ordered item.

Datentyp

datetime

Order stop criterion
Beschreibung

A condition which, when met, requires the cessation of administration or use.

Datentyp

text

Clinical indication
Beschreibung

The clinical reason for use of the ordered item.

Datentyp

text

Additional instruction
Beschreibung

An additional instruction on how to use or store the ordered item.

Datentyp

text

Parsable directions
Beschreibung

A parsable, computable text representation of the directions.

Datentyp

text

Duration of order completed
Beschreibung

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.

Datentyp

text

Maximum dose
Beschreibung

Details about the maximum, cumulative dose allowed over a defined period for the ordered item.

Datentyp

text

Alias
UMLS CUI [1,1]
C0806909
UMLS CUI [1,2]
C0178602
Allowed period
Beschreibung

The period of time during which the maximum dose is calculated.

Datentyp

text

Administrations completed
Beschreibung

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.

Datentyp

integer

Medication safety
Beschreibung

Details about medication safety for the ordered item.

Datentyp

text

Exceptional safety override?
Beschreibung

Confirmation by the prescriber that the normal dose or other safety limit has been overridden due to exceptional circumstances.

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0036043
UMLS CUI [1,2]
C1547671
Dispense amount
Beschreibung

Details about the amount of the ordered item to be dispensed.

Datentyp

text

Authorisation directions
Beschreibung

Details of authorisation of the ordered item, including supporting local self-administration, issue and endorsement policies.

Datentyp

text

Medication item
Beschreibung

Name of the medication, vaccine or other therapeutic/prescribable item being ordered.

Datentyp

text

Alias
UMLS CUI [1]
C2360065
Route
Beschreibung

The route by which the ordered item is to be administered into the subject's body.

Datentyp

text

Alias
UMLS CUI [1]
C0013153
Body site
Beschreibung

Name of the site of administration of the ordered item.

Datentyp

text

Alias
UMLS CUI [1]
C1515974
Structured body site
Beschreibung

Structured description of the site of administration of the ordered item.

Datentyp

text

Delivery method
Beschreibung

The technique or device by which the ordered item is to be delivered.

Datentyp

text

Delivery device details
Beschreibung

Details of the medical device used to assist delivery of the ordered item.

Datentyp

text

Patient information
Beschreibung

An additional instruction directed primarily at the individual/patient or carers.

Datentyp

text

Dispense instruction
Beschreibung

An additional instruction directed primarily at the person dispensing the ordered item.

Datentyp

text

Monitoring instruction
Beschreibung

An additional instruction which gives advice on recommended or required monitoring of the ordered item.

Datentyp

text

Order summary
Beschreibung

Summary information about use of the ordered item, such as current status or key dates, generally used in non-prescription contexts.

Datentyp

text

Order details
Beschreibung

Details about the whole medication order.

Datentyp

text

Dispense directions
Beschreibung

Directions about the dispensing of the ordered item.

Datentyp

text

Maximum amount
Beschreibung

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.

Datentyp

float

Substitution direction
Beschreibung

Permission for substitution with a bioequivalent item.

Datentyp

text

Priority
Beschreibung

An indicator of the urgency with which the ordered item should be dispensed.

Datentyp

text

Preparation details
Beschreibung

Structured details about the overall preparation including strength, form and constituent substances.

Datentyp

text

Maximum amount unit
Beschreibung

The unit for the maximum amount allowed.

Datentyp

text

Therapeutic intent
Beschreibung

The overall therapeutic intent of the ordered item.

Datentyp

text

Total daily effective dose
Beschreibung

Details about the total daily amount of the ordered item expected to be administered.

Datentyp

text

Total daily amount
Beschreibung

The amount of ordered item which will be taken each day if administered as intended.

Datentyp

float

Alias
UMLS CUI [1]
C2348070
Total daily amount unit
Beschreibung

The dose unit associated with the total daily amount.

Datentyp

text

Non-substitution reason
Beschreibung

The reason why an ordered item should not be substituted at dispense.

Datentyp

text

Dispensing start date
Beschreibung

The date from which the ordered item is permitted to be dispensed for the first time.

Datentyp

datetime

Dispensing expiry date
Beschreibung

The date after which the ordered item is no longer valid to be legally dispensed.

Datentyp

datetime

Override reason
Beschreibung

The reason for a clinical safety or maximum dose override.

Datentyp

text

Purpose
Beschreibung

Description of the reason for recording a total daily effective dose.

Datentyp

text

Additional details
Beschreibung

Additional structured details about the ordered item not captured in other fields.

Datentyp

text

Alias
UMLS CUI [1]
C1546922
Comment
Beschreibung

Additional narrative about the medication order not captured in other fields.

Datentyp

text

Alias
UMLS CUI [1]
C0947611
Dispense details
Beschreibung

Further details related to dispense directions.

Datentyp

text

Overriden safety advice
Beschreibung

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.

Datentyp

text

Specific directions description
Beschreibung

A narrative description of a specific part of overall directions.

Datentyp

text

Dosage justification
Beschreibung

A description of the justification used to calculate a dose amount or administration rate where this is dependent on some other factor.

Datentyp

text

Structured dose and timing directions
Beschreibung

Details of structured dose and timing directions.

Datentyp

text

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Ähnliche Modelle

openEHR-EHR-INSTRUCTION.medication_order.v1

1 Formulare
  1. StudyEvent: openEHR-EHR-INSTRUCTION.medication_order.v1
    1. openEHR-EHR-INSTRUCTION.medication_order.v1
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Medication order
Item
Medication order
text
C3242115 (UMLS CUI [1])
Order
Item
Order
text
C1705178 (UMLS CUI [1])
Order identifier
Item
Order identifier
text
C0600091 (UMLS CUI [1])
Dose amount description
Item
Dose amount description
text
C0178602 (UMLS CUI [1])
Overall directions description
Item
Overall directions description
text
C1720622 (UMLS CUI [1])
Order start criterion
Item
Order start criterion
text
Order start date/time
Item
Order start date/time
datetime
Order stop date/time
Item
Order stop date/time
datetime
Order stop criterion
Item
Order stop criterion
text
Clinical indication
Item
Clinical indication
text
Additional instruction
Item
Additional instruction
text
Parsable directions
Item
Parsable directions
text
Duration of order completed
Item
Duration of order completed
text
Maximum dose
Item
Maximum dose
text
C0806909 (UMLS CUI [1,1])
C0178602 (UMLS CUI [1,2])
Allowed period
Item
Allowed period
text
Administrations completed
Item
Administrations completed
integer
Medication safety
Item
Medication safety
text
safety override
Item
Exceptional safety override?
boolean
C0036043 (UMLS CUI [1,1])
C1547671 (UMLS CUI [1,2])
Dispense amount
Item
Dispense amount
text
Authorisation directions
Item
Authorisation directions
text
Medication item
Item
Medication item
text
C2360065 (UMLS CUI [1])
Route
Item
Route
text
C0013153 (UMLS CUI [1])
Body site
Item
Body site
text
C1515974 (UMLS CUI [1])
Structured body site
Item
Structured body site
text
Delivery method
Item
Delivery method
text
Delivery device details
Item
Delivery device details
text
Patient information
Item
Patient information
text
Dispense instruction
Item
Dispense instruction
text
Monitoring instruction
Item
Monitoring instruction
text
Order summary
Item
Order summary
text
Order details
Item
Order details
text
Dispense directions
Item
Dispense directions
text
Maximum amount
Item
Maximum amount
float
Item
Substitution direction
text
Substitution direction
Code List
Substitution direction
CL Item
Permitted (1)
CL Item
Not permitted (2)
Priority
Item
Priority
text
Preparation details
Item
Preparation details
text
Maximum amount unit
Item
Maximum amount unit
text
Therapeutic intent
Item
Therapeutic intent
text
Total daily effective dose
Item
Total daily effective dose
text
Total daily amount
Item
Total daily amount
float
C2348070 (UMLS CUI [1])
Total daily amount unit
Item
Total daily amount unit
text
Non-substitution reason
Item
Non-substitution reason
text
Dispensing start date
Item
Dispensing start date
datetime
Dispensing expiry date
Item
Dispensing expiry date
datetime
Override reason
Item
Override reason
text
Purpose
Item
Purpose
text
Additional details
Item
Additional details
text
C1546922 (UMLS CUI [1])
Comment
Item
Comment
text
C0947611 (UMLS CUI [1])
Dispense details
Item
Dispense details
text
Overriden safety advice
Item
Overriden safety advice
text
Specific directions description
Item
Specific directions description
text
Dosage justification
Item
Dosage justification
text
Structured dose and timing directions
Item
Structured dose and timing directions
text
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