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openEHR-EHR-INSTRUCTION.medication_order.v1

1 moduli  
  1. StudyEvent: openEHR-EHR-INSTRUCTION.medication_order.v1
    1. openEHR-EHR-INSTRUCTION.medication_order.v1
openEHR-EHR-INSTRUCTION.medication_order.v1.xml
Descrizione

openEHR-EHR-INSTRUCTION.medication_order.v1.xml

Medication order
Descrizione

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

Tipo di dati

text

Alias
UMLS CUI [1]
C3242115
Order
Descrizione

Details of the requested order.

Tipo di dati

text

Alias
UMLS CUI [1]
C1705178
Order identifier
Descrizione

Unique identifier for the medication order.

Tipo di dati

text

Alias
UMLS CUI [1]
C0600091
Dose amount description
Descrizione

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

Tipo di dati

text

Alias
UMLS CUI [1]
C0178602
Overall directions description
Descrizione

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

Tipo di dati

text

Alias
UMLS CUI [1]
C1720622
Order start criterion
Descrizione

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

Tipo di dati

text

Order start date/time
Descrizione

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

Tipo di dati

datetime

Order stop date/time
Descrizione

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

Tipo di dati

datetime

Order stop criterion
Descrizione

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

Tipo di dati

text

Clinical indication
Descrizione

The clinical reason for use of the ordered item.

Tipo di dati

text

Additional instruction
Descrizione

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

Tipo di dati

text

Parsable directions
Descrizione

A parsable, computable text representation of the directions.

Tipo di dati

text

Duration of order completed
Descrizione

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.

Tipo di dati

text

Maximum dose
Descrizione

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

Tipo di dati

text

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

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

Tipo di dati

text

Administrations completed
Descrizione

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.

Tipo di dati

integer

Medication safety
Descrizione

Details about medication safety for the ordered item.

Tipo di dati

text

Exceptional safety override?
Descrizione

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

Tipo di dati

boolean

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

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

Tipo di dati

text

Authorisation directions
Descrizione

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

Tipo di dati

text

Medication item
Descrizione

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

Tipo di dati

text

Alias
UMLS CUI [1]
C2360065
Route
Descrizione

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

Tipo di dati

text

Alias
UMLS CUI [1]
C0013153
Body site
Descrizione

Name of the site of administration of the ordered item.

Tipo di dati

text

Alias
UMLS CUI [1]
C1515974
Structured body site
Descrizione

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

Tipo di dati

text

Delivery method
Descrizione

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

Tipo di dati

text

Delivery device details
Descrizione

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

Tipo di dati

text

Patient information
Descrizione

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

Tipo di dati

text

Dispense instruction
Descrizione

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

Tipo di dati

text

Monitoring instruction
Descrizione

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

Tipo di dati

text

Order summary
Descrizione

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

Tipo di dati

text

Order details
Descrizione

Details about the whole medication order.

Tipo di dati

text

Dispense directions
Descrizione

Directions about the dispensing of the ordered item.

Tipo di dati

text

Maximum amount
Descrizione

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.

Tipo di dati

float

Substitution direction
Descrizione

Permission for substitution with a bioequivalent item.

Tipo di dati

text

Priority
Descrizione

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

Tipo di dati

text

Preparation details
Descrizione

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

Tipo di dati

text

Maximum amount unit
Descrizione

The unit for the maximum amount allowed.

Tipo di dati

text

Therapeutic intent
Descrizione

The overall therapeutic intent of the ordered item.

Tipo di dati

text

Total daily effective dose
Descrizione

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

Tipo di dati

text

Total daily amount
Descrizione

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

Tipo di dati

float

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

The dose unit associated with the total daily amount.

Tipo di dati

text

Non-substitution reason
Descrizione

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

Tipo di dati

text

Dispensing start date
Descrizione

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

Tipo di dati

datetime

Dispensing expiry date
Descrizione

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

Tipo di dati

datetime

Override reason
Descrizione

The reason for a clinical safety or maximum dose override.

Tipo di dati

text

Purpose
Descrizione

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

Tipo di dati

text

Additional details
Descrizione

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

Tipo di dati

text

Alias
UMLS CUI [1]
C1546922
Comment
Descrizione

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

Tipo di dati

text

Alias
UMLS CUI [1]
C0947611
Dispense details
Descrizione

Further details related to dispense directions.

Tipo di dati

text

Overriden safety advice
Descrizione

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.

Tipo di dati

text

Specific directions description
Descrizione

A narrative description of a specific part of overall directions.

Tipo di dati

text

Dosage justification
Descrizione

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

Tipo di dati

text

Structured dose and timing directions
Descrizione

Details of structured dose and timing directions.

Tipo di dati

text

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Similar models

openEHR-EHR-INSTRUCTION.medication_order.v1

1 moduli
  1. StudyEvent: openEHR-EHR-INSTRUCTION.medication_order.v1
    1. openEHR-EHR-INSTRUCTION.medication_order.v1
Name
genere
Description | Question | Decode (Coded Value)
Tipo di dati
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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