TEMPLATE Medikamentenverabreichungen (Medikamentenverabreichungen)

TEMPLATE IDMedikamentenverabreichungen
ConceptMedikamentenverabreichungen
DescriptionNot Specified
PurposeNot Specified
References
Authorsdate: 2021-03-17
Other Details Languagedate: 2021-03-17
OtherDetails Language Independent{original_language=ISO_639-1::de, sem_ver=0.1.0}
Language useden
Citeable Identifier1246.169.1638
AllOperationalTemplate [rootArchetypeId=openEHR-EHR-COMPOSITION.report.v1, otherContributors=null, tshis=[ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1], code=at0000, itemType=COMPOSITION, level=0, text=Medikamentenverabreichungen, description=Document to communicate information to others, commonly in response to a request from another party., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=COMPOSITION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=null, code=null, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=1, text=Other Context, description=null, 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-COMPOSITION.report.v1]/context/other_context[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=2, text=Report ID, description=Identification information about the report., 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-COMPOSITION.report.v1]/context/other_context[at0001]/items[at0005], code=at0005, itemType=ELEMENT, level=2, text=Status, description=The status of the entire report. Note: This is not the status of any of the report components., 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-COMPOSITION.report.v1]/context/other_context[at0001]/items[openEHR-EHR-CLUSTER.case_identification.v0], code=at0000, itemType=CLUSTER, level=2, text=Case identification, description=To record case identification details for public health purposes., 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-COMPOSITION.report.v1]/context/other_context[at0001]/items[openEHR-EHR-CLUSTER.case_identification.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=3, text=Case identifier, description=The identifier of this case., 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-COMPOSITION.report.v1]/context/other_context[at0001]/items[openEHR-EHR-CLUSTER.case_identification.v0]/items[at0002], code=at0002, itemType=ELEMENT, level=3, text=Case started, description=The date that the case was commenced., 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-COMPOSITION.report.v1]/context/other_context[at0001]/items[openEHR-EHR-CLUSTER.case_identification.v0]/items[at0003], code=at0003, itemType=ELEMENT, level=3, text=Status, description=The status of the case. A status of completed means the patient has been associated with the given case number. A status of aborted means the patient was associated with the case number in error., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Completed 
  • Aborted 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/context/other_context[at0001]/items[openEHR-EHR-CLUSTER.case_identification.v0]/items[at0006], code=at0006, itemType=ELEMENT, level=3, text=Case identified, description=Text or coded description of the case identified., 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-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1], code=at0000, itemType=ACTION, level=1, text=Medication management, description=Any activity related to the planning, scheduling, prescription management, dispensing, administration, cessation and other use of a medication, vaccine, nutritional product or other therapeutic item., comment=This is not limited to activities performed based on medication orders from clinicians, but could also include for example taking over the counter medication., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ACTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017], code=at0017, 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-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[at0020], code=at0020, itemType=ELEMENT, level=3, text=Medication item, description=Name of the medication, vaccine or other therapeutic/prescribable item which was the focus of the activity., comment=For example: 'Atenolol 100mg' or 'Tenormin tablets 100mg'. It is strongly recommended that the 'Medication item' is 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 used. Free text entry should only be used if there is no appropriate terminology available., 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-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[openEHR-EHR-CLUSTER.medication.v1], code=at0000, itemType=CLUSTER, level=3, text=Medication, description=Details about a medication or component of a medication, including strength, form and details of any specific constituents., 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-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[openEHR-EHR-CLUSTER.medication.v1]/items[at0132], code=at0132, itemType=ELEMENT, level=4, text=Name, description=The name of the medication or medication component., comment=For example: 'Zinacef 750 mg powder' or 'cefuroxim'. This item should be coded if possible, using for example, RxNorm, DM+D, Australian Medicines Terminology or FEST. Usage of this element will vary according to context of use. This element may be omitted where the name of the medication is recorded in the parent INSTRUCTION or ACTION archetype, and this archetype is only used to record that the form must be or was 'liquid'., 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-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[openEHR-EHR-CLUSTER.medication.v1]/items[at0071], code=at0071, itemType=ELEMENT, level=4, text=Form, description=The formulation or presentation of the medication or medication component., comment=For example: 'tablet', 'capsule', 'cream', 'infusion fluid' or 'inhalation powder'. Coding of the form with a terminology is preferred, where possible. Medicines catalogues may differentiate between administrable form 'solution for injection' and product form 'powder for solution for injection'. The recorded form will depend on the exact context of use but administrable form is likely to be used in most instances., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=Terminology: local_terms
  • Öl 
  • Amp 
  • Amp 
  • Salbe 
  • Salbe 
  • Tropf 
  • AuTropf 
  • AuBad 
  • AuCreme 
  • AuGel 
  • AuSalbe 
  • Bad 
  • Balsam 
  • Bandage 
  • Beutel 
  • Binden 
  • Bonbons 
  • Platte 
  • Brei 
  • BrTabl 
  • Creme 
  • Flasche 
  • Dilut 
  • DIS 
  • Dragees 
  • Spray 
  • Dragees 
  • Dragees 
  • Schaum 
  • Spray 
  • Pipette 
  • Einreib 
  • Elektr 
  • Elixier 
  • Emul 
  • Essenz 
  • Supp 
  • Extrakt 
  • Beutel 
  • Einreib 
  • Drag 
  • Spritze 
  • Salbe 
  • Flasche 
  • Flüss 
  • Flüss 
  • Tabl 
  • Folie 
  • FRB 
  • Seife 
  • Tabl 
  • Gel 
  • GLI 
  • Globuli 
  • Gran 
  • Platte 
  • Gran 
  • Saft 
  • Lösung 
  • Handsch 
  • Kaps 
  • Kaps 
  • InhKaps 
  • Kaps 
  • Amp 
  • Beutel 
  • Flasche 
  • Lösung 
  • Flasche 
  • Set 
  • InhAmp 
  • InhPulv 
  • Lösung 
  • InhKaps 
  • Lösung 
  • Impl 
  • Lösung 
  • Inhalat 
  • Flasche 
  • InhLös 
  • Tee 
  • Instill 
  • Susp 
  • Spirale 
  • Kanüle 
  • Kaps 
  • KAT 
  • KauDrag 
  • Kegel 
  • Kerne 
  • Kaug 
  • Konz 
  • Supp 
  • Klist 
  • KlisTbl 
  • Kaps 
  • Kaps 
  • Kondom 
  • Kompr 
  • Konz 
  • KombiPg 
  • KRI 
  • Supp 
  • Supp 
  • KauTabl 
  • Lanz 
  • Lösung 
  • Flüss 
  • Lösung 
  • Lotion 
  • LOV 
  • Lösung 
  • Tabl 
  • LUP 
  • LuTabl 
  • Milch 
  • Mixtur 
  • RetGran 
  • Pellets 
  • Tabl 
  • MUW 
  • NasGel 
  • NasÖl 
  • NasSpr 
  • NAW 
  • NasSpr 
  • NSalbe 
  • NTropf 
  • OCU 
  • Öl 
  • OTropf 
  • Ovula 
  • Pastill 
  • Pellets 
  • Pen 
  • Perlen 
  • Pflast 
  • Pflast 
  • Pulver 
  • Lösung 
  • Pulver 
  • Pulver 
  • Pulver 
  • PIV 
  • Pulver 
  • PLF 
  • PLG 
  • PLH 
  • PLI 
  • PLK 
  • PLV 
  • Lösung 
  • PRS 
  • Saft 
  • Paste 
  • Puder 
  • Pulver 
  • RetDrag 
  • RetKaps 
  • RetTabl 
  • RetGran 
  • RekKaps 
  • Schaum 
  • RetTabl 
  • Saft 
  • Salbe 
  • Salbe 
  • Schaum 
  • Seife 
  • Shampoo 
  • Sirup 
  • SMF 
  • SMT 
  • Supp 
  • Amp 
  • Flasche 
  • Lösung 
  • Spray 
  • Spritze 
  • Supp 
  • Amp 
  • Stäbch 
  • Stifte 
  • Streif 
  • Subst 
  • Susp 
  • Supp 
  • Susp 
  • SubTabl 
  • Susp 
  • Schwamm 
  • Tabl 
  • Tafel 
  • Amp 
  • Tee 
  • Tropfen 
  • Test 
  • Tinktur 
  • Tabl 
  • Tabl 
  • Tonikum 
  • Tampon 
  • Tamp 
  • TrAmp 
  • TRI 
  • Tropfen 
  • TRS 
  • TrTabl 
  • Saft 
  • TSD 
  • TSS 
  • Test 
  • TSY 
  • Test 
  • Tube 
  • Tücher 
  • Tupfer 
  • Tabl 
  • VagLös 
  • VagRing 
  • VagCrem 
  • Verband 
  • VagGel 
  • VagKaps 
  • Vlies 
  • VagOvul 
  • VagStäb 
  • VagSupp 
  • VagTabl 
  • Watte 
  • Gaze 
  • Kaps 
  • Kaps 
  • Würfel 
  • Gel 
  • Spray 
  • Festig. 
  • Maske 
  • Spül. 
  • Creme 
  • Pflege 
  • Creme 
  • Amp 
  • Bürste 
  • Zahncr. 
  • Zahngel 
  • ZerbKps 
  • Zahnp 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[openEHR-EHR-CLUSTER.medication.v1]/items[at0142], code=at0142, itemType=ELEMENT, level=4, text=Category, description=The category of the medication or medication component, with regard to manufacturing or preparation, and the number of ingredients., comment=For example: 'Paracetamol/codeine' is a Multi-ingredient product, while 'Morphine 60 mg + Haloperidol 2 mg + Midazolam 5 mg' is an Ad-hoc mixture, whose composition is fully specified within the order., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Coded Text
    • Ad-hoc mixture 
    • Ingredient 
    • Multi-ingredient product 
    • Single-ingredient product 
    • Combination product 
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[openEHR-EHR-CLUSTER.medication.v1]/items[at0152], code=at0152, itemType=CLUSTER, level=4, text=Strength (presentation), description=The strength of the medication or medication component, expressed as a ratio., comment=In some cases, as for liquid or semisolid medications, the denominator of the strength ratio is a physical quantity, for example 2 mg/5 ml. In some of these cases the denominator also reflects the actual volume of the component: 5 ml in the previous example. In this case the 'Strength (concentration)' would be 0.4 mg/ml. In other cases, where the strength involves a denominator which is not a physical quantity, for example 4 mg/tablet, the denominator is expressed as a unitary value '1' with a unit of '1', and 'tablet' is carried in the 'Unit of presentation' element. This arrangement was chosen to align with the approach adopted by the ISO IDMP standard for medication catalogues., 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-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[openEHR-EHR-CLUSTER.medication.v1]/items[at0152]/items[at0153], code=at0153, itemType=ELEMENT, level=5, text=Strength numerator, description=The value of the numerator of the strength fraction., comment=For example: For a presentation strength of '300 µg/0.3 ml', the strength numerator value is '300'. For a presentation strength of '100 mg/tablet', the strength numerator value is '100'., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=>=0 , extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[openEHR-EHR-CLUSTER.medication.v1]/items[at0152]/items[at0004], code=at0004, itemType=ELEMENT, level=5, text=Strength numerator unit, description=The unit of the numerator of the strength fraction., comment=The strength numerator is usually recorded using mass, volume or arbitrary units. For example: 'mg', 'ml', 'IU'. For a presentation strength of '300 µg/0.3 ml', the strength numerator unit is 'µg'. For a presentation strength of '100 mg/tablet', the strength numerator value is 'mg'., 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-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[openEHR-EHR-CLUSTER.medication.v1]/items[at0152]/items[at0157], code=at0157, itemType=ELEMENT, level=5, text=Strength denominator, description=The value of the denominator of the strength fraction., comment=For example: For a presentation strength of '300 µg/0.3 ml', the strength denominator value is '0.3'. For a presentation strength of '100 mg/tablet', the strength denominator value is '1'., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=>=0 , extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[openEHR-EHR-CLUSTER.medication.v1]/items[at0152]/items[at0005], code=at0005, itemType=ELEMENT, level=5, text=Strength denominator unit, description=The unit of the denominator of the strength fraction., comment=The strength denominator is usually recorded using mass or volume units. For example: 'g', 'ml'. For a presentation strength of '300 µg/0.3 ml', the strength denominator unit is 'ml'. For a presentation strength of '100 mg/tablet', the strength denominator unit is '1'. For this example, the 'Unit of presentation' element is used to record the presentation unit of the medication, 'tablet'., 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-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[openEHR-EHR-CLUSTER.medication.v1]/items[at0158], code=at0158, itemType=ELEMENT, level=4, text=Unit of presentation, description=The unit of presentation for a single dose of the medication, for use with the 'Strength denominator unit' element., comment=For example: 'tablet', 'capsule', 'puff', 'inhalation'. In most cases, like for tablets and capsules, the unit of presentation is identical to the Form. For some presentations such as inhalers, the Form may be 'inhalation powder', 'inhalation aerosol' or 'inhaler' while the unit of presentation is 'inhalation', 'puff', or 'dose'., 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-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[openEHR-EHR-CLUSTER.medication.v1]/items[at0115], code=at0115, itemType=ELEMENT, level=4, text=Strength (concentration), description=The strength of the medication or medication component, as a concentration., comment=This element is used for liquid or semisolid medications, or medications intended to be diluted in a liquid before administration. For example: '10 mg/ml', '20 mg/g', '5 %', '10,000 SQ-U/ml'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[openEHR-EHR-CLUSTER.medication.v1]/items[at0151], code=at0151, itemType=ELEMENT, level=4, text=Manufacturer, description=The manufacturer of the medication or medication component., comment=For example: 'Abbott'., 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-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[openEHR-EHR-CLUSTER.medication.v1]/items[at0150], code=at0150, itemType=ELEMENT, level=4, text=Batch ID, description=The identifier assigned to the production batch by the manufacturer during production., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Text
  •  Identifier
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[openEHR-EHR-CLUSTER.medication.v1]/items[at0003], code=at0003, itemType=ELEMENT, level=4, text=Expiry, description=The expiry date and/or time of the medication or medication component, as given by the manufacturer or individual preparing the mixture., comment=Any other form of expiry date, such as time from production or depending on storage environment, can be inserted using a specific CLUSTER archetype in the Substance Details slot or added as part of the Description. For example: '2017-05-23'., 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-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[openEHR-EHR-CLUSTER.medication.v1]/items[at0139], code=at0139, itemType=ELEMENT, level=4, text=Amount, description=The value of the amount of medication or medication component., comment=For example: '1', '1.5', '1000'. Note: the associated unit for this amount is recorded using the 'Amount unit' element., 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-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[openEHR-EHR-CLUSTER.medication.v1]/items[at0008], code=at0008, itemType=ELEMENT, level=4, text=Amount unit, description=The unit of the amount of medication or medication component., comment=For example: 'mg', 'ml', 'IU'. Note: The value of the amount is recorded using the 'Amount' 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-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[openEHR-EHR-CLUSTER.medication.v1]/items[at0148], code=at0148, itemType=ELEMENT, level=4, text=Alternate amount, description=The value of an equivalent representation of the amount of the medication or medication component., comment=The unit of the alternate amount is recorded in the 'Alternate amount unit' element. For example: for a medication with a strength of '5 mg/ml' and where the Amount is '1 ml', the equivalent amount would be 5 mg and the value recorded in this data element would be '5'., 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-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[openEHR-EHR-CLUSTER.medication.v1]/items[at0007], code=at0007, itemType=ELEMENT, level=4, text=Alternate amount unit, description=The unit of an equivalent representation of the amount of the medication or medication component., comment=The value of the alternate amount is recorded in the 'Alternate amount' element. For example: for a medication with a strength of '5 mg/ml' and where the Amount is '1 ml', the equivalent amount would be 5 mg and the value recorded in this data element would be 'mg'., 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-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[openEHR-EHR-CLUSTER.medication.v1]/items[at0127], code=at0127, itemType=ELEMENT, level=4, text=Role, description=The role of the medication or medication component within a mixture., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Coded Text
    • Therapeutic 
    • Adjuvant 
    • Excipient 
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[openEHR-EHR-CLUSTER.medication.v1]/items[at0133], code=at0133, itemType=ELEMENT, level=4, text=Description, description=Narrative description of the medication or medication component where it is not possible to describe this fully using structured elements., 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-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[openEHR-EHR-CLUSTER.medication.v1]/items[openEHR-EHR-CLUSTER.drug_class.v0], code=at0000, itemType=CLUSTER, level=4, text=Arzneimittelgruppe, description=Zur Einordnung eines Arzneimittels in eine Gruppe, Klasse oder Kategorie., 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-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[openEHR-EHR-CLUSTER.medication.v1]/items[openEHR-EHR-CLUSTER.drug_class.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=5, text=Name, description=Name der Arzneimittelgruppe., 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-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[openEHR-EHR-CLUSTER.medication.v1]/items[openEHR-EHR-CLUSTER.drug_class.v0]/items[at0004], code=at0004, itemType=CLUSTER, level=5, text=Katalog, description=Hier können Arzneimittelverzeichnisse, sowie intern verwendete Kataloge angegeben werden., 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-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[openEHR-EHR-CLUSTER.medication.v1]/items[openEHR-EHR-CLUSTER.drug_class.v0]/items[at0004]/items[at0002], code=at0002, itemType=ELEMENT, level=6, text=Katalogname, description=Name des verwendeten Katalogs oder Verzeichnisses., comment=Bekannte Arzneimittelverzeichnisse in Deutschland sind u.a. die Rote Liste, die Gelbe Liste oder die Lauer-Taxe., 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-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[openEHR-EHR-CLUSTER.medication.v1]/items[openEHR-EHR-CLUSTER.drug_class.v0]/items[at0004]/items[at0005], code=at0005, itemType=ELEMENT, level=6, text=Version, description=Versionsnummer des verwendeten Katalogs oder Verzeichnisses., 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-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[openEHR-EHR-CLUSTER.medication.v1]/items[openEHR-EHR-CLUSTER.drug_class.v0]/items[at0004]/items[at0010], code=at0010, itemType=ELEMENT, level=6, text=Beschreibung, description=Zusätzliche Beschreibung um charakteristische Merkmale des verwendeten Katalogs oder Verzeichnisses zu erfassen., comment=Hier können z.B. Referenzen, wie eine offizielle Webseite oder Literatur angegeben werden., 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-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[openEHR-EHR-CLUSTER.medication.v1]/items[openEHR-EHR-CLUSTER.drug_class.v0]/items[at0007], code=at0007, itemType=ELEMENT, level=5, text=Kommentar, description=Zur Dokumentation von zusätzlichen Informationen über die Einordnung des Arzneimittels in eine Gruppe, Klasse oder Kategorie, die nicht in anderen Feldern erfasst wurden., 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-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[at0156], code=at0156, itemType=ELEMENT, level=3, text=Clinical indication, description=The clinical reason for the medication activity., comment=For example: 'Angina' or 'Pain'. Coding of the indication with a terminology is preferred, where possible. This data element allows multiple occurrences. If only an ACTION is used to record a medication indication, this data element can be used without additional consideration. However, if a clinical indication is recorded for both the Medication order INSTRUCTION and this Medication management ACTION, be aware that these indications might not be consistent.", 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-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[at0132], code=at0132, itemType=ELEMENT, level=3, text=Substitution, description=Subsitution action taken by the person administering or dispensing the drug., 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=
  • Substitution performed 
  • Substitution not performed 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[at0133], code=at0133, itemType=ELEMENT, level=3, text=Substitution reason, description=The reason or justification for the substitution action taken., comment=For example: "Generic alternative contains a substance that is not tolerated by the patient." May be coded with a terminology when clinically appropriate, 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-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[at0043], code=at0043, itemType=ELEMENT, level=3, text=Original scheduled date/time, description=The datetime at which the medication action was scheduled to occur., comment=Used to compare variance from actual action time where this is not readily calculable from the original instruction., 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-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[at0154], code=at0154, itemType=ELEMENT, level=3, text=Restart date/time, description=The date/time on which the medication course is set to restart, as per the "Administrations suspended" pathway step., comment=For example: 2017-10-29, 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-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[at0155], code=at0155, itemType=ELEMENT, level=3, text=Restart criterion, description=The criterion which triggers the medication course to restart, as per the "Administrations suspended" pathway step., comment=For example: "On day 2 after surgery"., 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-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[at0021], code=at0021, itemType=ELEMENT, level=3, text=Reason, description=Reason that the pathway step for the identified medication was carried out., comment=For example: 'Postponed - Patient not avalable at administration time', 'Cancelled - Adverse reaction'. Note: This is not the reason for the medication instruction, but rather the specific reason that a care step was carried out, and will often be used to document some variance from the original 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-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[at0140], code=at0140, itemType=CLUSTER, level=3, text=Administration details, description=Details of body site and administration of the medication., 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-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[at0140]/items[at0147], code=at0147, itemType=ELEMENT, level=4, text=Route, description=The route by which the ordered item was, or is to be, administered into the subject's body., comment=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=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=Terminology: local_terms
  • Auricular use 
  • Buccal use 
  • Cutaneous use 
  • Dental use 
  • Endocervical use 
  • Endosinusial use 
  • Endotracheopulmonary use 
  • Epidural use 
  • Epilesional use 
  • Extraamniotic use 
  • Extracorporeal use 
  • Gastric use 
  • Gastroenteral use 
  • Gingival use 
  • Haemodialysis 
  • Implantation 
  • Infiltration 
  • Inhalation use 
  • Intestinal use 
  • Intraamniotic use 
  • Intraarterial use 
  • Intraarticular use 
  • Intrabursal use 
  • Intracameral use 
  • Intracardiac use 
  • Intracartilaginous use 
  • Intracavernous use 
  • Intracerebral use 
  • Intracerebroventricular use 
  • Intracervical use 
  • Intracholangiopancreatic use 
  • Intracisternal use 
  • Intracoronary use 
  • Intradermal use 
  • Intradiscal use 
  • Intraepidermal use 
  • Intraglandular use 
  • Intralesional use 
  • Intralymphatic use 
  • Intramuscular use 
  • Intraocular use 
  • Intraosseous use 
  • Intrapericardial use 
  • Intraperitoneal use 
  • Intrapleural use 
  • Intraportal use 
  • Intraprostatic use 
  • Intrasternal use 
  • Intrathecal use 
  • Intratumoral use 
  • Intrauterine use 
  • Intravenous use 
  • Intravesical use 
  • Intravitreal use 
  • Iontophoresis 
  • Laryngopharyngeal use 
  • Nasal use 
  • Ocular use 
  • Oral use 
  • Oromucosal use 
  • Oropharyngeal use 
  • Periarticular use 
  • Perineural use 
  • Periodontal use 
  • Periosseous use 
  • Peritumoral use 
  • Posterior juxtascleral use 
  • Rectal use 
  • Retrobulbar use 
  • Route of administration not applicable 
  • Skin scarification 
  • Subconjunctival use 
  • Subcutaneous use 
  • Sublingual use 
  • Submucosal use 
  • Subretinal use 
  • Transdermal use 
  • Urethral use 
  • Vaginal use 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[at0140]/items[at0141], code=at0141, itemType=ELEMENT, level=4, text=Body site, description=Structured description 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-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[at0140]/items[at0143], code=at0143, itemType=ELEMENT, level=4, text=Administration method, description=The technique or device by which the ordered item was, or is to be, administered., comment=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-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[at0033], code=at0033, itemType=ELEMENT, level=3, text=Patient guidance, description=Any guidance, instructions or advice given to the subject of care or personal carer at the time of the pathway step., comment=For example: 'Avoid grapefruit' , 'Take at least 2 hours before bedtime', 'Take with food'. May be coded with a terminology when clinically appropriate., 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-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[at0149], code=at0149, itemType=ELEMENT, level=3, text=Double-checked?, description=The pathway step has been checked by a separate individual., comment=Details of the individual performing the double-check can be carried in the Reference Model element "Participation"., 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-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[at0025], code=at0025, itemType=ELEMENT, level=3, text=Sequence number, description=The sequence number specific to the pathway step being recorded., comment=For example: Vaccine sequence number., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[at0024], code=at0024, itemType=ELEMENT, level=3, text=Comment, description=Additional narrative about the activity or pathway step not captured in other fields, including details of any variance between the intended action and the action actually performed., comment=For example: 'Patient was in radiology department', 'Accidental injection into blood vessel during IM administration'., 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-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/protocol[at0030], code=at0030, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, text=Protocol, 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-COMPOSITION.report.v1]/content[openEHR-EHR-ACTION.medication.v1]/protocol[at0030]/items[at0103], code=at0103, itemType=ELEMENT, level=3, text=Order ID, description=Unique identifier for the medication order., comment=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]