ARCHETYPE ID | openEHR-EHR-CLUSTER.therapeutic_direction.v1 |
Concept | Therapeutic direction |
Description | Structured details of a single therapeutic direction for an ordered item, such as a medication or blood transfusion order. |
Use | A direction describes one or more sequential therapeutic administration patterns, coupled with an overall direction duration and details of any repetitive pattern of intended administration outside a single day. For example: '1 tab in the morning, 1 tab at night, for 3 weeks, on Mondays, Wednesdays and Fridays'. This cluster allows multiple occurrences to enable representation of a complete set of dosage directions for a single medication order. The cluster can be renamed in template or at run-time to represent a specific dosing event such as 'loading dose', 'bolus'. This archetype will generally be used in the context of a parent INSTRUCTION archetype. It has been specifically designed for use within a complex Medication order including IV medication, or for fluid orders in the context of transfusion or dialysis. |
Purpose | To record structured details of a single therapeutic direction for an ordered therapeutic/prescribable item. Each direction generally applies for a given duration, or fixed number of administrations. |
References | Medication instruction, Draft Archetype [Internet]. nehta, Australia, nehta Clinical Knowledge Manager [cited: 2015-12-15]. Available from: http://dcm.nehta.org.au/ckm/#showArchetype_1013.1.838 Intermountain Healthcare Medication order model, Personal Communication to Sam Heard by Dr Stan Huff. Royal Australian College of General Practitioners. Fact Sheet: Medicines List. 2010. NHS HSCIC Messaging Implementation Manual (GP2GP messages) http://www.uktcregistration.nss.cfh.nhs.uk/trud3 Standards for medication and medical device records – technical annex [Internet]. RCP London. [cited 2015 Dec 15]. Available from: https://www.rcplondon.ac.uk/projects/outputs/standards-medication-and-medical-device-records-technical-annex |
Copyright | © openEHR Foundation |
Authors | Author name: Ian McNicoll Organisation: freshEHR Clinical Informatics Email: ian@freshehr.com Date originally authored: 2017-03-22 |
Other Details Language | Author name: Ian McNicoll Organisation: freshEHR Clinical Informatics Email: ian@freshehr.com Date originally authored: 2017-03-22 |
OtherDetails Language Independent | {licence=This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/., custodian_organisation=openEHR Foundation, references=Medication instruction, Draft Archetype [Internet]. nehta, Australia, nehta Clinical Knowledge Manager [cited: 2015-12-15]. Available from: http://dcm.nehta.org.au/ckm/#showArchetype_1013.1.838
Intermountain Healthcare Medication order model, Personal Communication to Sam Heard by Dr Stan Huff.
Royal Australian College of General Practitioners. Fact Sheet: Medicines List. 2010.
NHS HSCIC Messaging Implementation Manual (GP2GP messages) http://www.uktcregistration.nss.cfh.nhs.uk/trud3
Standards for medication and medical device records – technical annex [Internet]. RCP London. [cited 2015 Dec 15]. Available from: https://www.rcplondon.ac.uk/projects/outputs/standards-medication-and-medical-device-records-technical-annex, current_contact=Ian McNicoll, freshEHR Clinical Informatics, UK |
Keywords | medication, order, prescribe, therapy, substance, drug, therapeutic, otc, therapeutic good, pharmaceutical, product, posology, treatment, transfusion |
Lifecycle | published |
UID | 0f42a76b-6cb6-4d7d-8330-14f5c168c9d9 |
Language used | en |
Citeable Identifier | 1246.145.999 |
Revision Number | 1.4.1 |
All | Archetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Structured details of a single therapeutic direction for an ordered item, such as a medication or blood transfusion order., archetypeConceptComment=null, otherContributors=Vebjørn Arntzen, Oslo University Hospital, Norway Koray Atalag, University of Auckland, New Zealand Silje Ljosland Bakke, Nasjonal IKT HF, Norway (openEHR Editor) Marcus Baw, openGPSoC / BawMedical Ltd, United Kingdom John Bennett, NEHTA, Australia SB BHATTACHARYYA, Sudisa Consultancy Services, India SBhusan Bhattacharyya, Sudisa Consultancy Services, India Sharmila Biswas, Australia Lars Bitsch-Larsen, Haukeland University hospital, Norway Stephen Chu, NEHTA, Australia (Editor) Matthew Cordell, NEHTA, Australia Gail Easterbrook, Flinders Medical Centre, Australia David Evans, Queensland Health, Australia Hildegard Franke, freshEHR Clinical Informatics Ltd., United Kingdom Sarah Gaunt, NEHTA, Australia Heather Grain, Llewelyn Grain Informatics, Australia Trina Gregory, cpc, Australia Robert Hausam, Hausam Consulting LLC, United States Sam Heard, Ocean Informatics, Australia (Editor) Evelyn Hovenga, EJSH Consulting, Australia Mary Kelaher, NEHTA, Australia Robert L'egan, NEHTA, Australia Russell Leftwich, Russell B Leftwich MD, United States Heather Leslie, Ocean Health Systems, Australia (openEHR Editor) Colin Macfarlane, Elsevier, United Kingdom Susan McIndoe, Royal District Nursing Service, Australia David McKillop, NEHTA, Australia Ian McNicoll, freshEHR Clinical Informatics, United Kingdom (openEHR Editor) Chris Mitchell, RACGP, Australia Stewart Morrison, NEHTA, Australia Andrej Orel, Marand d.o.o., Slovenia Chris Pearce, Melbourne East GP Network, Australia Vladimir Pizzo, Hospital Sírio Libanês, Brazil Camilla Preeston, Royal Australian College of General Practitioners, Australia Margaret Prichard, NEHTA, Australia Norwegian Review Summary, Nasjonal IKT HF, Norway Cathy Richardson, NEHTA, Australia Robyn Richards, NEHTA - Clinical Terminology, Australia Anoop Shah, University College London, United Kingdom Iztok Stotl, UKCLJ, Slovenia John Taylor, NEHTA, Australia Nyree Taylor, Ocean Informatics, Australia Richard Townley-O'Neill, NEHTA, Australia John Tore Valand, Helse Bergen, Norway (openEHR Editor) Ines Vaz, UFN, Portugal Kylie Young, The Royal Australian College of General Practitioners, Australia, originalLanguage=en, translators=
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0176], code=at0176, itemType=SLOT, level=1, text=Dosage, description=The combination of a medication dose and administration timing for a single day., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: openEHR-EHR-CLUSTER.dosage.v1 and specialisations or openEHR-EHR-CLUSTER.dosage.v2 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0066], code=at0066, itemType=ELEMENT, level=1, text=Direction duration, description=The length of time for which this direction should be applied., comment=For example: 'for 7 days','Indefinite'. An example of a set of multiple directions, with varying durations might be ... '1 tablet daily for 3 days, 2 tablets daily for 4 days, then 3 tablets Indefinite'., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
openEHR-EHR-CLUSTER.timing_ openEHR-EHR-CLUSTER.conditional_ openEHR-EHR-CLUSTER.conditional_ , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0176], code=at0176, itemType=SLOT, level=1, text=Dosage, description=The combination of a medication dose and administration timing for a single day., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: openEHR-EHR-CLUSTER.dosage.v1 and specialisations or openEHR-EHR-CLUSTER.dosage.v2 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0066], code=at0066, itemType=ELEMENT, level=1, text=Direction duration, description=The length of time for which this direction should be applied., comment=For example: 'for 7 days','Indefinite'. An example of a set of multiple directions, with varying durations might be ... '1 tablet daily for 3 days, 2 tablets daily for 4 days, then 3 tablets Indefinite'., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
openEHR-EHR-CLUSTER.timing_ openEHR-EHR-CLUSTER.conditional_ openEHR-EHR-CLUSTER.conditional_ |