TEMPLATE ELISE_Medikationseintrag (ELISE_Medikationseintrag)

TEMPLATE IDELISE_Medikationseintrag
ConceptELISE_Medikationseintrag
DescriptionZur Repräsentation der Medikation, die für eine Person verordnet oder durch die Person angewendet wird. Das Template stellt Medikamente dar, die der Patient zurzeit einnimmt, in der Vergangenheit genommen hat oder in Zukunft einnehmen wird. Dabei kann es sich sowohl um verschreibungspflichtige Medikamente handeln, wie auch um OTC-Präparate, welche ein Patient in Eigenverantwortung einnimmt.
UseZur Repräsentation der Anwendung von Medikamenten, die für eine Person verordnet oder durch die Person angewendet werden. Es kann sich dabei um eine aktuelle, frühere oder geplante Anwendung handeln. Das Template hat eher den Charakter eines Medikationsplans. Es ist nicht klar, ob der Patient diese Arzneimittel tatsächlich eingenommen hat oder diese verabreicht wurden. Wenn ein Fallbezug oder eine Verbindung zu anderen Compositions (z.B. Prozeduren, Diagnose-Templates) hergestellt werden soll, bitte die LINK class aus dem Referenzmodell nutzen.
MisuseNicht zur Repräsentation spezifischer Medikamententherapie oder Medikamentenklassen, die weitere Angaben erfordern (z. B. Protokoll bei Chemotherapie). Dafür bitte eigene Templates anlegen. Nicht für die Darstellung der eigentlichen Medikamentenverabreichung, die auf vollständige Verabreichungsinformationen basieren, geeignet. Dafür wird das Template Medikamentenverabreichungen verwendet.
PurposeZur Repräsentation der Medikation, die für eine Person verordnet oder durch die Person angewendet wird. Das Template stellt Medikamente dar, die der Patient zurzeit einnimmt, in der Vergangenheit genommen hat oder in Zukunft einnehmen wird. Dabei kann es sich sowohl um verschreibungspflichtige Medikamente handeln, wie auch um OTC-Präparate, welche ein Patient in Eigenverantwortung einnimmt.
References
Authorsdate: 2020-01-16
Other Details Languagedate: 2020-01-16
OtherDetails Language Independent{MetaDataSet:Sample Set =Template metadata sample set, PARENT:MD5-CAM-1.0.1=006E9F209FD9F3691A5B9EFF0BAC3B5B, original_language=ISO_639-1::de, MD5-CAM-1.0.1=c45d0ef3a3e45b3d7f7947de67083c90, sem_ver=6.1.0, build_uid=97da31db-7472-411b-adb2-47157e91df91}
KeywordsMedikation; Medikamentöse Behandlung; Arzneiliste; Medikamentenverordnung; Arzneiverordnung; Medikamentenanwendung; Arzneimittel; Medikamentenanamnese; Medikationsliste; Medikamentenliste; Arzneimittelverordnung; Medikationseintrag, Medikamentenplan, Medikationseintrag, Kerndatensatz, Medication Statement
Language useden
Citeable Identifier1246.169.1947
AllOperationalTemplate [rootArchetypeId=openEHR-EHR-COMPOSITION.medication_list.v1, otherContributors=null, tshis=[ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.medication_list.v1], code=at0000, itemType=COMPOSITION, level=0, text=ELISE_Medikation, description=A persistent and versioned list of medicines for an individual., 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.medication_list.v1]/context/other_context[at0005]/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.medication_list.v1]/context/other_context[at0005]/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.medication_list.v1]/content[openEHR-EHR-OBSERVATION.medication_statement.v0], code=at0000, itemType=OBSERVATION, level=1, text=Medication statement, description=A snapshot view about the use of a specified medication., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.medication_list.v1]/content[openEHR-EHR-OBSERVATION.medication_statement.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, text=Data, 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.medication_list.v1]/content[openEHR-EHR-OBSERVATION.medication_statement.v0]/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=3, text=Any event, description=Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.medication_list.v1]/content[openEHR-EHR-OBSERVATION.medication_statement.v0]/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Data, 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.medication_list.v1]/content[openEHR-EHR-OBSERVATION.medication_statement.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.medication.v1], code=at0000, itemType=CLUSTER, level=5, 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=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.medication_list.v1]/content[openEHR-EHR-OBSERVATION.medication_statement.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.medication.v1]/items[at0132], code=at0132, itemType=ELEMENT, level=6, text=Arzneimittel-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.medication_list.v1]/content[openEHR-EHR-OBSERVATION.medication_statement.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.medication.v1]/items[openEHR-EHR-CLUSTER.drug_class.v0], code=at0000, itemType=CLUSTER, level=6, text=Arzneimittelgruppe, description=Zur Einordnung eines Arzneimittels in eine Gruppe, Klasse oder Kategorie., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.medication_list.v1]/content[openEHR-EHR-OBSERVATION.medication_statement.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.medication.v1]/items[openEHR-EHR-CLUSTER.drug_class.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=7, text=Arzneimittel-Code, 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.medication_list.v1]/content[openEHR-EHR-OBSERVATION.medication_statement.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.medication.v1]/items[openEHR-EHR-CLUSTER.drug_class.v0]/items[at0004], code=at0004, itemType=CLUSTER, level=7, 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.medication_list.v1]/content[openEHR-EHR-OBSERVATION.medication_statement.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.medication.v1]/items[openEHR-EHR-CLUSTER.drug_class.v0]/items[at0004]/items[at0002], code=at0002, itemType=ELEMENT, level=8, 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=
  • RxNorm
  • SNOMED CT
  • IDMP
  • PZN
  • ATC
  • [...]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.medication_list.v1]/content[openEHR-EHR-OBSERVATION.medication_statement.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0019], code=at0019, itemType=ELEMENT, level=5, text=Startzeitpunkt Einnahme, description=The valid start date/time for the Status., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.medication_list.v1]/content[openEHR-EHR-OBSERVATION.medication_statement.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0019]/null_flavour, code=null, itemType=EXPOSED_RM_ATTRIBUTE, level=6, text=null_flavour, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.medication_list.v1]/content[openEHR-EHR-OBSERVATION.medication_statement.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0021], code=at0021, itemType=ELEMENT, level=5, text=Endzeitpunkt Einnahme, description=The valid end date/time for the Status., 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.medication_list.v1]/content[openEHR-EHR-OBSERVATION.medication_statement.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.dosage.v1], code=at0000, itemType=CLUSTER, level=5, text=Dosage, description=The combination of a medication amount and administration timing for a single day, in the context of a medication order or medication management., comment=For example: '2 tablets at 6pm' or '20mg three times per day'. Please note: this cluster allows multiple occurrences to enable representation of a complete set of dose patterns for a single dose direction., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.medication_list.v1]/content[openEHR-EHR-OBSERVATION.medication_statement.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.dosage.v1]/items[at0144], code=at0144, itemType=ELEMENT, level=6, text=Dosis, description=The value of the amount of medication administered at one time, as a real number, or range of real numbers, and associated with the Dose unit., comment=For example: 1, 1.5, 0.125 or 1-2, 12.5-20.5, 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.medication_list.v1]/content[openEHR-EHR-OBSERVATION.medication_statement.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.dosage.v1]/items[openEHR-EHR-CLUSTER.timing_daily.v1], code=at0000, itemType=CLUSTER, level=6, text=Tägliche Dosierung, description=Structured information about the intended timing of a therapeutic or diagnostic activity within any 24 hour period., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.medication_list.v1]/content[openEHR-EHR-OBSERVATION.medication_statement.v0]/protocol[at0004], code=at0004, 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.medication_list.v1]/content[openEHR-EHR-OBSERVATION.medication_statement.v0]/protocol[at0004]/items[openEHR-EHR-CLUSTER.entry_category.v0], code=at0000, itemType=CLUSTER, level=3, text=Kategorie des Eintrags, description=Kategorie, Art oder Typ der Information., 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.medication_list.v1]/content[openEHR-EHR-OBSERVATION.medication_statement.v0]/protocol[at0004]/items[openEHR-EHR-CLUSTER.entry_category.v0]/items[at0002], code=at0002, itemType=ELEMENT, level=4, text=Kategorie der Medikation, description=Kategorie des Eintrags, comment=Belassen Sie als Freitext oder beschränken Sie sich auf eine interne oder externe Codeliste., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Aufnahmemedikation
  • Entlassungsmedikation
  • Sonstige Medikation
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.medication_list.v1]/content[openEHR-EHR-OBSERVATION.medication_statement.v0]/protocol[at0004]/items[openEHR-EHR-CLUSTER.identifier_fhir.v0], code=at0000, itemType=CLUSTER, level=3, text=Identifier, description=Identifizierungsdetails, die auf FHIR-Ressourcen oder Datentypen abgestimmt sind., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null]], templateType=normal]