ID

29600

Descrição

http://openehr.org/ckm/ For recording the planning, issuing of a prescription, dispensing, administration, cessation, suspension, completion of a medicine, vaccine or other therapeutic good . This will usually be in response to a medication order but may be administered immediately without an order at times, thus requiring recording of the administration alone (e.g. in an emergency situation). Such a record may be made to indicate the administration of a dose, dispensing of a certain quantity or as a record of ceasing a medication. The state of the medication instruction is altered by the action taken as indicated in the Pathway definition. There is a date and time at which this ACTION took place (as there is for all ACTIONs) and use of this archetype indicates that some action has actually occurred.

Link

http://openehr.org/ckm/

Palavras-chave

Versões (1)
  1. 10/4/18 10/4/18 - Halim Ugurlu
Titular dos direitos

openEHR Foundation

Transferido a

10 de abril de 2018

DOI

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Licença

Creative Commons BY-NC 3.0
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openEHR-EHR-ACTION.medication.v0

Inglês Norueguês Português ( localization.languageCode.BR ) Slovenian

openEHR-EHR-ACTION.medication.v0

1 Formulários  
  1. StudyEvent: openEHR-EHR-ACTION.medication.v0
    1. openEHR-EHR-ACTION.medication.v0
openEHR-EHR-ACTION.medication.v0.xml
Descrição

openEHR-EHR-ACTION.medication.v0.xml

Medication
Descrição

Details of use, administration, dispensing or other care step relating to a medicine, vaccine or other therapeutic good which may arise from an instruction from a clinician.

Tipo de dados

text

Alias
UMLS CUI [1]
C2064717
Medication
Descrição

The medicine, vaccine or other therapeutic good which was the focus of the action. This element will normally be coded with a medicines terminology but free text may be required in some cases.

Tipo de dados

text

Alias
UMLS CUI [1]
C0013227
Reason
Descrição

The reason(s) the specific action or step was carried out. Note: This is not the reason for the medication instruction, rather the specific reason e.g. for administration.

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0566251
UMLS CUI [1,2]
C0001554
Comment
Descrição

A comment on the action taken including details of any variance between the intended action and the action actually performed.

Tipo de dados

text

Alias
UMLS CUI [1,1]
C3266814
UMLS CUI [1,2]
C1711260
Sequence number
Descrição

The sequence number specific to the action being recorded.

Tipo de dados

integer

Alias
UMLS CUI [1]
C2348184
Patient guidance
Descrição

Any guidance, instructions or advice given to the subject of care or carer at the time of the action.

Tipo de dados

text

Alias
UMLS CUI [1]
C1442085
Order scheduled datetime
Descrição

The datetime at which the medication order was scheduled to occur.

Tipo de dados

datetime

Alias
UMLS CUI [1]
C1549499
Details
Descrição

Further structured details of the action, possibly specific to a pathway step.

Tipo de dados

text

Alias
UMLS CUI [1]
C1522508
Product
Descrição

Details of the product dispensed, authorised or administered.

Tipo de dados

text

Alias
UMLS CUI [1,1]
C1522508
UMLS CUI [1,2]
C1514468
Batch ID
Descrição

Assigned by the manufacturer to identify the manufacturing batch of the item.

Tipo de dados

text

Alias
UMLS CUI [1]
C3641829
Expiry date
Descrição

The expiry date of the medicine administered as documented by the manufacturer.

Tipo de dados

date

Alias
UMLS CUI [1]
C3669020
Extension
Descrição

Additional information required to capture local content or to align with other reference models/formalisms.

Tipo de dados

text

Alias
UMLS CUI [1]
C1546922
Order ID
Descrição

The identifier assigned with the original order.

Tipo de dados

text

Alias
UMLS CUI [1,1]
C1300638
UMLS CUI [1,2]
C1705175
Preparation details
Descrição

Details of the medication preparation.

Tipo de dados

text

Alias
UMLS CUI [1,1]
C1522508
UMLS CUI [1,2]
C1521827
Max class dose administered
Descrição

The proportion of the maximum allowed dose equivalent administered.

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0806909
UMLS CUI [1,2]
C0178602
Manufacturer
Descrição

The manufacturer of the medication.

Tipo de dados

text

Alias
UMLS CUI [1]
C0947322
Amount
Descrição

Details of the amount of medication supplied i.e. authorised, dispensed or administered.

Tipo de dados

text

Alias
UMLS CUI [1]
C0805077
Dispensing substitution
Descrição

Subsitution action taken by the dispenser.

Tipo de dados

text

Alias
UMLS CUI [1]
C0947323
Dispensing substitution reason
Descrição

The reason or justification for the substitution action taken.

Tipo de dados

text

Alias
UMLS CUI [1,1]
C3469597
UMLS CUI [1,2]
C0566251
Delivery details
Descrição

Details of body site and delivery of the medication.

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0565867
UMLS CUI [1,2]
C1522508
Body site
Descrição

Identification of the site of administration of the medication, vaccine or therapeutic good.

Tipo de dados

text

Alias
UMLS CUI [1]
C1515974
Structured body site
Descrição

Structured description of the site of administration of the medication, vaccine or therapeutic good.

Tipo de dados

text

Alias
UMLS CUI [1]
C1515974
Delivery method
Descrição

The method by which the medication is to be delivered.

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0565867
UMLS CUI [1,2]
C0013227
Delivery device details
Descrição

Details of the medical device used to assist delivery of the medication.

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0699733
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Similar models

openEHR-EHR-ACTION.medication.v0

1 Formulários
  1. StudyEvent: openEHR-EHR-ACTION.medication.v0
    1. openEHR-EHR-ACTION.medication.v0
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
Alias
Medication
Item
Medication
text
C2064717 (UMLS CUI [1])
Medication
Item
Medication
text
C0013227 (UMLS CUI [1])
Reason
Item
Reason
text
C0566251 (UMLS CUI [1,1])
C0001554 (UMLS CUI [1,2])
Comment
Item
Comment
text
C3266814 (UMLS CUI [1,1])
C1711260 (UMLS CUI [1,2])
Sequence number
Item
Sequence number
integer
C2348184 (UMLS CUI [1])
Patient guidance
Item
Patient guidance
text
C1442085 (UMLS CUI [1])
Order scheduled datetime
Item
Order scheduled datetime
datetime
C1549499 (UMLS CUI [1])
Details
Item
Details
text
C1522508 (UMLS CUI [1])
Product
Item
Product
text
C1522508 (UMLS CUI [1,1])
C1514468 (UMLS CUI [1,2])
Batch ID
Item
Batch ID
text
C3641829 (UMLS CUI [1])
Expiry date
Item
Expiry date
date
C3669020 (UMLS CUI [1])
Extension
Item
Extension
text
C1546922 (UMLS CUI [1])
Order ID
Item
Order ID
text
C1300638 (UMLS CUI [1,1])
C1705175 (UMLS CUI [1,2])
Preparation details
Item
Preparation details
text
C1522508 (UMLS CUI [1,1])
C1521827 (UMLS CUI [1,2])
Max class dose administered
Item
Max class dose administered
text
C0806909 (UMLS CUI [1,1])
C0178602 (UMLS CUI [1,2])
Manufacturer
Item
Manufacturer
text
C0947322 (UMLS CUI [1])
Amount
Item
Amount
text
C0805077 (UMLS CUI [1])
Item
Dispensing substitution
text
C0947323 (UMLS CUI [1])
Dispensing substitution
Code List
Dispensing substitution
CL Item
Substitute product dispensed (1)
CL Item
Substitute product not dispensed (2)
Dispensing substitution reason
Item
Dispensing substitution reason
text
C3469597 (UMLS CUI [1,1])
C0566251 (UMLS CUI [1,2])
Delivery details
Item
Delivery details
text
C0565867 (UMLS CUI [1,1])
C1522508 (UMLS CUI [1,2])
Body site
Item
Body site
text
C1515974 (UMLS CUI [1])
Structured body site
Item
Structured body site
text
C1515974 (UMLS CUI [1])
Delivery method
Item
Delivery method
text
C0565867 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
Delivery device details
Item
Delivery device details
text
C0013227 (UMLS CUI [1,1])
C0699733 (UMLS CUI [1,2])
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