TEMPLATE 1 (1)

TEMPLATE ID1
Concept1
DescriptionNot Specified
PurposeNot Specified
References
Authorsdate: 2022-09-02
Other Details Languagedate: 2022-09-02
OtherDetails Language Independent{PARENT:MD5-CAM-1.0.1=006E9F209FD9F3691A5B9EFF0BAC3B5B, original_language=ISO_639-1::de, sem_ver=0.1.0}
Language useden
Citeable Identifier1246.169.2572
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=1, 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.antibiotikum_update_3.v0], code=at0000, itemType=CLUSTER, level=2, text=UMG Antibiotikum, description=Der Archetyp dient zur Erfassung von Informationen über das verwendete Antibiotikum, dessen Resistenzen und Hemmkonzentrationen., 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.antibiotikum_update_3.v0]/items[at0009], code=at0009, itemType=ELEMENT, level=3, text=Liegt ein Antibiogramm vor?, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Ja 
  • Nein 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.medication_list.v1]/context/other_context[at0005]/items[openEHR-EHR-CLUSTER.antibiotikum_update_3.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=3, text=Antibiotikum ID, description=Eindeutige Kennung des verwendeten Antibiotikums., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_IDENTIFIER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.medication_list.v1]/context/other_context[at0005]/items[openEHR-EHR-CLUSTER.antibiotikum_update_3.v0]/items[at0002], code=at0002, itemType=ELEMENT, level=3, text=Antibiotikum Name, description=Der Name des verwendeten Antibiotikums., 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]/context/other_context[at0005]/items[openEHR-EHR-CLUSTER.antibiotikum_update_3.v0]/items[at0003], code=at0003, itemType=ELEMENT, level=3, text=Resistenzergebnis, description=Ergebnis, ob eine Antiobtikaresitenz vorliegt. Unter der Bezeichnung Antibiotikaresistenz werden Eigenschaften von Mikroorganismen wie Bakterien oder Pilze zusammengefasst, welche ihnen ermöglichen, die Wirkung von antibiotisch aktiven Substanzen abzuschwächen oder ganz zu neutralisieren., comment=Das Resistenz ergebnis kann zum Biepiel wie folgt dargestellt werden: S (sensibel), R (resistent), I (Intermediär), NEG (negativ)., 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]/context/other_context[at0005]/items[openEHR-EHR-CLUSTER.antibiotikum_update_3.v0]/items[at0004], code=at0004, itemType=ELEMENT, level=3, text=Präfix der minimalen Hemmkonzentration, description=Päfix der minimalen Hemmkonzentration., comment=Zum Beispiel: <=, 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]/context/other_context[at0005]/items[openEHR-EHR-CLUSTER.antibiotikum_update_3.v0]/items[at0005], code=at0005, itemType=ELEMENT, level=3, text=Hemmkonzentration, description=Die minimale Hemmkonzentration, kurz MHK, ist die kleinste Wirkstoffkonzentration einer antimikrobiellen Substanz (z.B. eines Antibiotikums), welche die Erregervermehrung in der Kultur noch verhindert., comment=null, 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.medication_list.v1]/context/other_context[at0005]/items[openEHR-EHR-CLUSTER.antibiotikum_update_3.v0]/items[at0006], code=at0006, itemType=ELEMENT, level=3, text=Antibiotikum Einnahmezeit, description=*Den Zeitpunkt an dem der Patient das Antibotikum bekommt, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, 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-ADMIN_ENTRY.person_data.v0], code=at0000, itemType=ADMIN_ENTRY, level=1, text=Personendaten, description=Demografische Daten zu einer Person wie Geburtsdatum und Telefonnummer., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ADMIN_ENTRY, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.medication_list.v1]/content[openEHR-EHR-ADMIN_ENTRY.person_data.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-ADMIN_ENTRY.person_data.v0]/data[at0001]/items[at0008], code=at0008, itemType=ELEMENT, level=3, text=Art der Person, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Coded Text
    • Mitarbeiter 
    • Patient 
    • sonstiges 
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.medication_list.v1]/content[openEHR-EHR-ADMIN_ENTRY.person_data.v0]/data[at0001]/items[at0024], code=at0024, itemType=CLUSTER, level=3, text=Angaben zum Tod, description=*, 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-ADMIN_ENTRY.person_data.v0]/data[at0001]/items[at0024]/items[at0025], code=at0025, itemType=ELEMENT, level=4, text=Verstorben?, description=*, comment=null, 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.medication_list.v1]/content[openEHR-EHR-OBSERVATION.age.v0], code=at0000, itemType=OBSERVATION, level=1, text=Age, description=Details about the age of an individual at a specific point in time., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, 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.age.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.age.v0]/data[at0001]/events[at0002], code=at0002, itemType=POINT_EVENT, level=3, text=Point in time event, description=Default, unspecified point in time 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=POINT_EVENT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.medication_list.v1]/content[openEHR-EHR-OBSERVATION.age.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.age.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=5, text=Chronological age, description=Duration of time since birth., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=PT0S..P200Y, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.medication_list.v1]/content[openEHR-EHR-OBSERVATION.age.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=5, text=Adjusted age, description=Chronological age of an infant, less the number of weeks or months they were born premature., comment=Also known as 'Corrected age'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.medication_list.v1]/content[openEHR-EHR-OBSERVATION.age.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0007], code=at0007, itemType=ELEMENT, level=5, text=Age category, description=Duration of time since birth, expressed as a specified age range or grouping., comment=Categories for each specific use case will be defined within a template., 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.age.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0006], code=at0006, itemType=ELEMENT, level=5, text=Comment, description=Additional narrative about the age of an individual, not captured in other fields., 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-ADMIN_ENTRY.versicherungsinformationen.v0], code=at0000, itemType=ADMIN_ENTRY, level=1, text=Versicherungsinformationen, description=Zur Abbildung von Versicherungsinformationen eines Patienten, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ADMIN_ENTRY, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.medication_list.v1]/content[openEHR-EHR-ADMIN_ENTRY.versicherungsinformationen.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-ADMIN_ENTRY.versicherungsinformationen.v0]/data[at0001]/items[at0011], code=at0011, itemType=ELEMENT, level=3, text=Name der Versicherung, description=Name der Versicherung, z.B. AOK Niedersachsen, Techniker Krankenkasse etc., 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-ADMIN_ENTRY.versicherungsinformationen.v0]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=3, text=Versicherungstyp, description=Versicherungstyp des Patienten (selbst; gesetzliche Krankenversicherung; private Krankenversicherung; Berufsgenossenschaft; unentgeltliche truppenärztliche Versorgung), 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-ADMIN_ENTRY.versicherungsinformationen.v0]/data[at0001]/items[at0010], code=at0010, itemType=ELEMENT, level=3, text=Institutionskennzeichen der Krankenkasse, description=z.B. Techniker Krankenkasse 106577501, comment=null, 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.medication_list.v1]/content[openEHR-EHR-ADMIN_ENTRY.hospitalization.v0], code=at0000, itemType=ADMIN_ENTRY, level=1, text=Aufenthaltsdaten, description=Zur Erfassung der administrativen Aufenthaltsdaten eines Patienten., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ADMIN_ENTRY, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.medication_list.v1]/content[openEHR-EHR-ADMIN_ENTRY.hospitalization.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-ADMIN_ENTRY.hospitalization.v0]/data[at0001]/items[at0003], code=at0003, itemType=ELEMENT, level=3, text=Art des Aufenthaltes, description=Art des Aufenthaltes., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Stationär 
  • Ambulant 
  • Sonstige 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.medication_list.v1]/content[openEHR-EHR-ADMIN_ENTRY.hospitalization.v0]/data[at0001]/items[at0004], code=at0004, itemType=ELEMENT, level=3, text=Beginn, description=Zeitlicher Beginn des Aufenthaltes am beschriebenen Ort., 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-ADMIN_ENTRY.hospitalization.v0]/data[at0001]/items[at0005], code=at0005, itemType=ELEMENT, level=3, text=Ende, description=Zeitliches Ende des Aufenthaltes am beschriebenen Ort., 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-ADMIN_ENTRY.hospitalization.v0]/data[at0001]/items[at0006], code=at0006, itemType=ELEMENT, level=3, text=Grund des Aufenthaltes, description=Grund des Aufenthaltes, 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-ADMIN_ENTRY.hospitalization.v0]/data[at0001]/items[at0009], code=at0009, itemType=ELEMENT, level=3, text=Kommentar, description=Zusätzliche Kommentare., 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-INSTRUCTION.medication_order.v3], code=at0000, itemType=INSTRUCTION, level=1, text=Medication order, description=An order for a medication, vaccine, nutritional product or other therapeutic item for an identified individual., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=INSTRUCTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.medication_list.v1]/content[openEHR-EHR-INSTRUCTION.medication_order.v3]/activities[at0001], code=at0001, itemType=ACTIVITY, level=2, text=Order, description=Details of the requested order., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ACTIVITY, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.medication_list.v1]/content[openEHR-EHR-INSTRUCTION.medication_order.v3]/activities[at0001]/description[at0002], code=at0002, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, 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.medication_list.v1]/content[openEHR-EHR-INSTRUCTION.medication_order.v3]/activities[at0001]/description[at0002]/items[at0070], code=at0070, itemType=ELEMENT, level=4, text=Medication item, description=Name of the medication, vaccine or other therapeutic/prescribable item being ordered., comment=Depending on the prescribing context this field could be used for either generic- or product-based prescribing. This data field can be used to record tightly bound orders of different medications when they are prescribed as a single pack. It is strongly recommended that the 'Medication item' be 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 to be used. Free text entry should only be used if there is no appropriate terminology available., 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.medication_list.v1]/content[openEHR-EHR-INSTRUCTION.medication_order.v3]/activities[at0001]/description[at0002]/items[at0091], code=at0091, itemType=ELEMENT, level=4, text=Route, description=The route by which the ordered item is to be administered into the subject's body., 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=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.medication_list.v1]/content[openEHR-EHR-INSTRUCTION.medication_order.v3]/activities[at0001]/description[at0002]/items[at0092], code=at0092, itemType=ELEMENT, level=4, text=Body site, description=Name 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.medication_list.v1]/content[openEHR-EHR-INSTRUCTION.medication_order.v3]/activities[at0001]/description[at0002]/items[at0094], code=at0094, itemType=ELEMENT, level=4, text=Administration method, description=The technique or device by which the ordered item is to be administered., 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.medication_list.v1]/content[openEHR-EHR-INSTRUCTION.medication_order.v3]/activities[at0001]/description[at0002]/items[at0009], code=at0009, itemType=ELEMENT, level=4, text=Overall directions description, description=Complete narrative description about how the ordered item is to be used., comment=This narrative should normally subsume data captured in 'Dose amount', 'Dose timing' and any additional instructions for use. Where the medication dose directions are fully carried by the structured, computable dose directions, this element should carry the narrative equivalent, generally auto-generated. If it is not possible to represent the intended 'Dose direction' fully in computable form, partial representation is not recommended, and the directions should be only recorded in narrative form using this data 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.medication_list.v1]/content[openEHR-EHR-INSTRUCTION.medication_order.v3]/activities[at0001]/description[at0002]/items[at0047], code=at0047, itemType=ELEMENT, level=4, text=Parsable directions, description=A parsable, computable text representation of the directions., comment=Generally this is only used when passing information between legacy systems. For example: '10mg bd; 20mg n' as used by the NHS Dose syntax (in development)., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_PARSABLE, bindings=null, values=Formalism
  • text/html
  • text/plain
  • text/xml
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.medication_list.v1]/content[openEHR-EHR-INSTRUCTION.medication_order.v3]/activities[at0001]/description[at0002]/items[at0173], code=at0173, itemType=ELEMENT, level=4, text=Specific directions description, description=A narrative description of a specific part of overall directions., comment=In some settings, it is common to split overall narrative directions into more specific segments of narrative. For example in hospital settings, it can be common to split the overall directions into 'Dose amount' and 'Dose timing', both as narrative text. These terms can be applied at template or run-time., 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.medication_list.v1]/content[openEHR-EHR-INSTRUCTION.medication_order.v3]/activities[at0001]/description[at0002]/items[at0174], code=at0174, itemType=ELEMENT, level=4, text=Dosage justification, description=A description of the justification used to calculate a dose amount or administration rate where this is dependent on some other factor., comment=For example: 'Adjusted for amputation'., 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.medication_list.v1]/content[openEHR-EHR-INSTRUCTION.medication_order.v3]/activities[at0001]/description[at0002]/items[at0062], code=at0062, itemType=CLUSTER, level=4, text=Medication safety, description=Details about medication safety for the ordered item., 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-INSTRUCTION.medication_order.v3]/activities[at0001]/description[at0002]/items[at0062]/items[at0064], code=at0064, itemType=ELEMENT, level=5, text=Exceptional safety override?, description=Confirmation by the prescriber that the normal dose or other safety limit has been overridden due to exceptional circumstances., comment=null, 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.medication_list.v1]/content[openEHR-EHR-INSTRUCTION.medication_order.v3]/activities[at0001]/description[at0002]/items[at0062]/items[at0178], code=at0178, itemType=CLUSTER, level=5, text=Safety override, description=Overriding of a known or recognised safety issue which applies to this subject and the ordered item, such as an allergy, drug duplication warning or contraindication., 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-INSTRUCTION.medication_order.v3]/activities[at0001]/description[at0002]/items[at0062]/items[at0178]/items[at0171], code=at0171, itemType=ELEMENT, level=6, text=Overriden safety advice, description=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., comment=For example: 'Allergic to penicillin', 'Atenolol duplicated'., 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-INSTRUCTION.medication_order.v3]/activities[at0001]/description[at0002]/items[at0062]/items[at0178]/items[at0162], code=at0162, itemType=ELEMENT, level=6, text=Override reason, description=The reason for a clinical safety or maximum dose override., comment=For example: 'Not responsive at maximum recommended dose. Critical situation.', 'Peniciilin is only valid treatment, likelihood of true penicillin allergy is low'., 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.medication_list.v1]/content[openEHR-EHR-INSTRUCTION.medication_order.v3]/activities[at0001]/description[at0002]/items[at0062]/items[at0051], code=at0051, itemType=CLUSTER, level=5, text=Maximum dose, description=Details about the maximum, cumulative dose allowed over a defined period for the ordered item., comment=For example: 'up to 1gram per day'. This cluster allows multiple occurrences to enable representation of multiple maximum doses that apply to different time periods. Lifetime maximum dose should not be carried here as it refers to multiple orders over time., 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-INSTRUCTION.medication_order.v3]/activities[at0001]/description[at0002]/items[at0062]/items[at0051]/items[at0130], code=at0130, itemType=ELEMENT, level=6, text=Maximum amount, description=The maximum, cumulative amount of medication which should be administered within the allowed period., comment=For example: 1 ml, 1.5 mg, 0.125 g., 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.medication_list.v1]/content[openEHR-EHR-INSTRUCTION.medication_order.v3]/activities[at0001]/description[at0002]/items[at0062]/items[at0051]/items[at0053], code=at0053, itemType=ELEMENT, level=6, text=Allowed period, description=The period of time during which the maximum dose is calculated., comment=Example: 24 hours., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=>=PT0S, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.medication_list.v1]/content[openEHR-EHR-INSTRUCTION.medication_order.v3]/activities[at0001]/description[at0002]/items[at0062]/items[at0150], code=at0150, itemType=CLUSTER, level=5, text=Total daily effective dose, description=Details about the total daily amount of the ordered item expected to be administered., comment=The total daily dose records the expected effective dose, and thus support titration of an initial low dose towards the effective dose over a period of time. This is not itself the target dose or goal but the actual effective daily dose against that goal. In some circumstances the Total daily dose will be calcuable from computable directions, in others it may need to be manually entered., 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-INSTRUCTION.medication_order.v3]/activities[at0001]/description[at0002]/items[at0062]/items[at0150]/items[at0165], code=at0165, itemType=ELEMENT, level=6, text=Purpose, description=Description of the reason for recording a total daily effective dose., comment=For example: 'Hypertension control', 'Target dose 20mg daily'. The description could be used to identify a name, phrase or paragraph about the purpose for recording total daily effective dose, commonly to allow to titration towards a specific target dose. The goal or target dose might be recorded here or more commonly as part of a linked EVALUATION 'Goal' archetype., 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-INSTRUCTION.medication_order.v3]/activities[at0001]/description[at0002]/items[at0062]/items[at0150]/items[at0151], code=at0151, itemType=ELEMENT, level=6, text=Total daily amount, description=The amount of ordered item which will be taken each day if administered as intended., comment=For example '20 mg'., 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.medication_list.v1]/content[openEHR-EHR-INSTRUCTION.medication_order.v3]/activities[at0001]/description[at0002]/items[at0044], code=at0044, itemType=ELEMENT, level=4, text=Additional instruction, description=An additional instruction on how to use or store the ordered item., comment=For example: precautions as 'take with food', 'Avoid grapefruit', 'Dissolve in water', 'store in a cool, dry place'. This data element allows multiple occurrences and should be coded with a reference terminology, 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.medication_list.v1]/content[openEHR-EHR-INSTRUCTION.medication_order.v3]/activities[at0001]/description[at0002]/items[at0105], code=at0105, itemType=ELEMENT, level=4, text=Patient information, description=An additional instruction directed primarily at the individual/patient or carers., comment=For example: 'To reduce your blood pressure', 'To thin your blood'. This data element allows multiple occurrences and should be coded with a reference terminology, where possible. If required it is possible to use a LINK attribute to associate this element with, for example, the 'original diagnosis' in a separate Problem list composition but the indication should be explicitly recorded here, as the link target may change over time., 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.medication_list.v1]/content[openEHR-EHR-INSTRUCTION.medication_order.v3]/activities[at0001]/description[at0002]/items[at0107], code=at0107, itemType=ELEMENT, level=4, text=Monitoring instruction, description=An additional instruction which gives advice on recommended or required monitoring of the ordered item., comment=For example: 'Please check renal function in 2 weeks'. This data element allows multiple occurrences., 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.medication_list.v1]/content[openEHR-EHR-INSTRUCTION.medication_order.v3]/activities[at0001]/description[at0002]/items[at0018], code=at0018, itemType=ELEMENT, level=4, text=Clinical indication, description=The clinical reason for use of the ordered item., comment=For example: 'Angina'. Coding of the clinical indication with a terminology is preferred, where possible. This data element allows multiple occurrences. It is not intended to carry an indication for administrative authorisation purposes., 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.medication_list.v1]/content[openEHR-EHR-INSTRUCTION.medication_order.v3]/activities[at0001]/description[at0002]/items[at0148], code=at0148, itemType=ELEMENT, level=4, text=Therapeutic intent, description=The overall therapeutic intent of the ordered item., comment=For example: 'pain relief'; 'palliative care'; 'low-dose prophylaxis'; 'rehydration'; 'nutritional infusion'., 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.medication_list.v1]/content[openEHR-EHR-INSTRUCTION.medication_order.v3]/activities[at0001]/description[at0002]/items[at0179], code=at0179, itemType=ELEMENT, level=4, text=Clinician guidance, description=Advice to future prescribers/dispensers about the ongoing, long term order., comment=For example: 'don't allow brand substitution' or advice regarding using a specific brand to avoid fillers that cause reactions., 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-INSTRUCTION.medication_order.v3]/activities[at0001]/description[at0002]/items[at0113], code=at0113, itemType=CLUSTER, level=4, text=Order details, description=Details about the whole medication order., 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-INSTRUCTION.medication_order.v3]/activities[at0001]/description[at0002]/items[at0113]/items[at0012], code=at0012, itemType=ELEMENT, level=5, text=Order start date/time, description=The date and optional time to commence use of the ordered item., 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-INSTRUCTION.medication_order.v3]/activities[at0001]/description[at0002]/items[at0113]/items[at0013], code=at0013, itemType=ELEMENT, level=5, text=Order stop date/time, description=The date and optional time when it is planned to cease use of the ordered item., 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-INSTRUCTION.medication_order.v3]/activities[at0001]/description[at0002]/items[at0113]/items[at0011], code=at0011, itemType=ELEMENT, level=5, text=Order start criterion, description=A condition which, when met, requires the commencement of administration or use., comment=For example: 'Start if symptoms recur'. This is intended for a general pre-condition which should trigger the whole medication course to be started, and not for 'as required' administrations of an ongoing 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.medication_list.v1]/content[openEHR-EHR-INSTRUCTION.medication_order.v3]/activities[at0001]/description[at0002]/items[at0113]/items[at0016], code=at0016, itemType=ELEMENT, level=5, text=Order stop criterion, description=A condition which, when met, requires the cessation of administration or use., comment=For example: 'Stop after symptoms disappear''., 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.medication_list.v1]/content[openEHR-EHR-INSTRUCTION.medication_order.v3]/activities[at0001]/description[at0002]/items[at0113]/items[at0060], code=at0060, itemType=ELEMENT, level=5, text=Administrations completed, description=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., comment=For example: To record that the patient has taken the two first antibiotic tablets of a three day course, prior to discharge from the hospital to a nursing home., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=>=0, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.medication_list.v1]/content[openEHR-EHR-INSTRUCTION.medication_order.v3]/activities[at0001]/description[at0002]/items[at0113]/items[at0050], code=at0050, itemType=ELEMENT, level=5, text=Duration of order completed, description=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., comment=For example: To record that the patient had been taking antibiotics 3 days prior to hospital admission, in the context of a 7 day course., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=>=PT0H
Units:
  • Week
  • Day
  • Hour
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.medication_list.v1]/content[openEHR-EHR-INSTRUCTION.medication_order.v3]/activities[at0001]/description[at0002]/items[at0129], code=at0129, itemType=CLUSTER, level=4, text=Dispense directions, description=Directions about the dispensing of the ordered item., 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-INSTRUCTION.medication_order.v3]/activities[at0001]/description[at0002]/items[at0129]/items[at0106], code=at0106, itemType=ELEMENT, level=5, text=Dispense instruction, description=An additional instruction directed primarily at the person dispensing the ordered item., comment=Example: Detailed instructions for phased dispensing of opiates., 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.medication_list.v1]/content[openEHR-EHR-INSTRUCTION.medication_order.v3]/activities[at0001]/description[at0002]/items[at0129]/items[at0132], code=at0132, itemType=ELEMENT, level=5, text=Substitution direction, description=Permission for substitution with a bioequivalent item., 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=
  • Permitted 
  • Not permitted 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.medication_list.v1]/content[openEHR-EHR-INSTRUCTION.medication_order.v3]/activities[at0001]/description[at0002]/items[at0129]/items[at0154], code=at0154, itemType=ELEMENT, level=5, text=Non-substitution reason, description=The reason why an ordered item should not be substituted at dispense., comment=For example 'Generic preparation not bio-equivalent'., 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-INSTRUCTION.medication_order.v3]/activities[at0001]/description[at0002]/items[at0129]/items[at0139], code=at0139, itemType=ELEMENT, level=5, text=Priority, description=An indicator of the urgency with which the ordered item should be dispensed., comment=For example 'Urgent'. This is left to be templated or specialised according to local valuesets. Some jurisdictions allow instructions to dispense to be marked as 'urgent' so that the dispensary handles them quickly., 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-INSTRUCTION.medication_order.v3]/activities[at0001]/description[at0002]/items[at0129]/items[at0155], code=at0155, itemType=ELEMENT, level=5, text=Dispensing start date, description=The date from which the ordered item is permitted to be dispensed for the first time., comment=May be used to control the time of dispensing of medications with potential for abuse. For example: benzodiazepines or analgesics., 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-INSTRUCTION.medication_order.v3]/activities[at0001]/description[at0002]/items[at0129]/items[at0161], code=at0161, itemType=ELEMENT, level=5, text=Dispensing expiry date, description=The date after which the ordered item is no longer valid to be legally dispensed., comment=In some jurisdictions, orders to dispense may have an expiry date after which the prescription may not be dispensed., 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-INSTRUCTION.medication_order.v3]/activities[at0001]/description[at0002]/items[at0167], code=at0167, itemType=ELEMENT, level=4, text=Comment, description=Additional narrative about the medication order not captured in other fields., 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-INSTRUCTION.medication_order.v3]/protocol[at0005], code=at0005, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, text=Protocol, description=The amount and units of the medication, vaccine or other therapeutic good to be used or administered at one time., 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-INSTRUCTION.medication_order.v3]/protocol[at0005]/items[at0004], code=at0004, itemType=ELEMENT, level=3, text=Order identifier, description=Unique identifier for the medication order., 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], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.medication_list.v1]/content[openEHR-EHR-EVALUATION.adverse_reaction_risk.v1], code=at0000, itemType=EVALUATION, level=1, text=Adverse reaction risk, description=Risk of harmful or undesirable physiological response which is unique to an individual and associated with exposure to a substance., comment=Substances include, but are not limited to: a therapeutic substance administered correctly at an appropriate dosage for the individual; food; material derived from plants or animals; or venom from insect stings., uncommonOntologyItems={source=openEHR,FHIR}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.medication_list.v1]/content[openEHR-EHR-EVALUATION.adverse_reaction_risk.v1]/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-EVALUATION.adverse_reaction_risk.v1]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=3, text=Substance, description=Identification of a substance, or substance class, that is considered to put the individual at risk of an adverse reaction event., comment=Both an individual substance and a substance class are valid entries in 'Substance'. A substance may be a compound of simpler substances, for example a medicinal product. If the value in 'Substance' is an individual substance, it may be duplicated in 'Specific substance'. It is strongly recommended that both 'Substance' and 'Specific substance' be coded with a terminology capable of triggering decision support, where possible. For example: Snomed CT, DM+D, RxNorm, NDFRT, ATC, New Zealand Universal List of Medicines and Australian Medicines Terminology. Free text entry should only be used if there is no appropriate terminology available., uncommonOntologyItems={source=openEHR,FHIR,DAM}, 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.medication_list.v1]/content[openEHR-EHR-EVALUATION.adverse_reaction_risk.v1]/data[at0001]/items[at0063], code=at0063, itemType=ELEMENT, level=3, text=Status, description=Assertion about the certainty of the propensity, or potential future risk, of the identified 'Substance' to cause a reaction., comment=Decision support would typically raise alerts for 'Suspected', 'Likely', 'Confirmed', and ignore a 'Refuted' reaction. Clinical systems may choose not to display Adverse reaction entries with a 'Refuted' status in the Adverse Reaction List. However, 'Refuted' may be useful for reconciliation of the adverse reaction list or when communicating between systems . Some implementations may choose to make this field mandatory. 'Resolved' may be used variably across systems, depending on clinical use and context - there appears to be differing opinion whether this should still be used to raise potential alerts or to display in an Adverse Reaction List. The free text data type will allow for local variation by enabling other value sets to be applied to this data element in a template - in this situation it is recommended that values should be coded using a terminology., uncommonOntologyItems={source=FHIR, DAM}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Coded Text
    • Suspected 
    • Likely 
    • Confirmed 
    • Resolved 
    • Refuted 
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.medication_list.v1]/content[openEHR-EHR-EVALUATION.adverse_reaction_risk.v1]/data[at0001]/items[at0101], code=at0101, itemType=ELEMENT, level=3, text=Criticality, description=An indication of the potential for critical system organ damage or life threatening consequence., comment=This can be regarded as a predictive judgement of a 'worst case scenario'. In most contexts 'Low' would be regarded as the default value., uncommonOntologyItems={source=DAM, openEHR}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Low 
  • High 
  • Indeterminate 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.medication_list.v1]/content[openEHR-EHR-EVALUATION.adverse_reaction_risk.v1]/data[at0001]/items[at0120], code=at0120, itemType=ELEMENT, level=3, text=Category, description=Category of the identified 'Substance'., comment=This data element has been included because it is currently being captured in some clinical systems. This data can be derived from the Substance where coding systems are used, and is effectively redundant in that situation., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Coded Text
    • Food 
    • Medication 
    • Other 
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.medication_list.v1]/content[openEHR-EHR-EVALUATION.adverse_reaction_risk.v1]/data[at0001]/items[at0117], code=at0117, itemType=ELEMENT, level=3, text=Onset of last reaction, description=The date and/or time of the onset of the last known occurrence of a reaction event., comment=This date may be be a duplicate of the most recent 'Onset of reaction' date. Where a textual representation of the date of last occurrence is required e.g 'In Childhood, '10 years ago' the Comment element should be used., uncommonOntologyItems={source=IMH}, 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-EVALUATION.adverse_reaction_risk.v1]/data[at0001]/items[at0058], code=at0058, itemType=ELEMENT, level=3, text=Reaction mechanism, description=Identification of the underlying physiological mechanism for the adverse reaction., comment=Immune-mediated responses have been traditionally regarded as an indicator for escalation of significant future risk. Contemporary knowledge suggests that some reactions previously thought to be immune are actually non-immune and still carry life threatening risk. Immunological testing may provide supporting evidence for the mechanism and causative substance , but no tests are 100% sensitive or specific for a sensitivity. It is acknowledged that most clinicians will NOT be able to distinguish the mechanism of any specific reaction. However this data element is included because many legacy systems have captured this attribute., uncommonOntologyItems={source=FHIR, DAM}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Coded Text
    • Immune mediated 
    • Non-immune mediated 
    • Indeterminate 
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.medication_list.v1]/content[openEHR-EHR-EVALUATION.adverse_reaction_risk.v1]/data[at0001]/items[at0006], code=at0006, itemType=ELEMENT, level=3, text=Comment, description=Additional narrative about the propensity for the adverse reaction, not captured in other fields., comment=For example: including reason for flagging a 'Criticality' of 'High risk'; and instructions related to future exposure or administration of the Substance, such as administration within an Intensive Care Unit or under corticosteroid cover., uncommonOntologyItems={source=openEHR}, 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-EVALUATION.adverse_reaction_risk.v1]/data[at0001]/items[at0009], code=at0009, itemType=CLUSTER, level=3, text=Reaction event, description=Details about each adverse reaction event linked to exposure to the identified 'Substance'., comment=null, uncommonOntologyItems={source=openEHR,FHIR,DAM}, 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-EVALUATION.adverse_reaction_risk.v1]/data[at0001]/items[at0009]/items[at0010], code=at0010, itemType=ELEMENT, level=4, text=Specific substance, description=Identification of the substance considered to be responsible for the specific adverse reaction event., comment=For example: 'Amoxycillin'. Only an individual substance is a valid entry in 'Specific substance'. A substance may be a compound of simpler substances, for example a medicinal product. If the value in 'Substance' is an individual substance and not a substance class, then it may be duplicated in this data element. It is strongly recommended that 'Specific substance' be coded with a terminology capable of triggering decision support, where possible. For example: RxNorm, Snomed CT, DM+D, NDFRT, ICD-9, ICD-10, UNI, ATC and CPT. Free text entry should only be used if there is no appropriate terminology available., uncommonOntologyItems={source=FHIR, openEHR,DAM}, 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-EVALUATION.adverse_reaction_risk.v1]/data[at0001]/items[at0009]/items[at0021], code=at0021, itemType=ELEMENT, level=4, text=Certainty, description=Statement about the degree of clinical certainty that the identified 'Specific substance' was the cause of the 'Manifestation' in this reaction event., comment=null, uncommonOntologyItems={source=FHIR}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Suspected 
  • Likely 
  • Confirmed 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.medication_list.v1]/content[openEHR-EHR-EVALUATION.adverse_reaction_risk.v1]/data[at0001]/items[at0009]/items[at0011], code=at0011, itemType=ELEMENT, level=4, text=Manifestation, description=Clinical symptoms and/or signs that are observed or associated with the adverse reaction., comment=Manifestation can be expressed as a single word, phrase or brief description. For example: nausea, rash. 'No reaction'may be appropriate where a previous reaction has been noted but the reaction did not re-occur after further exposure. It is preferable that 'Manifestation' should be coded with a terminology, where possible. The values entered here may be used to display on an application screen as part of a list of adverse reactions, as recommended in the UK NHS CUI guidelines. Terminologies commonly used include, but are not limited to, SNOMED-CT or ICD10., uncommonOntologyItems={source=FHIR, openEHR,DAM}, 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.medication_list.v1]/content[openEHR-EHR-EVALUATION.adverse_reaction_risk.v1]/data[at0001]/items[at0009]/items[at0012], code=at0012, itemType=ELEMENT, level=4, text=Reaction description, description=Narrative description about the adverse reaction as a whole, including details of the manifestation if required., comment=null, uncommonOntologyItems={source=FHIR, openEHR}, 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-EVALUATION.adverse_reaction_risk.v1]/data[at0001]/items[at0009]/items[at0027], code=at0027, itemType=ELEMENT, level=4, text=Onset of reaction, description=Record of the date and/or time of the onset of the reaction., comment=null, uncommonOntologyItems={source=openEHR, FHIR, DAM}, 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-EVALUATION.adverse_reaction_risk.v1]/data[at0001]/items[at0009]/items[at0028], code=at0028, itemType=ELEMENT, level=4, text=Duration of reaction, description=The total amount of time that the manifestation of the adverse reaction persisted., comment=null, uncommonOntologyItems={source=openEHR}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.medication_list.v1]/content[openEHR-EHR-EVALUATION.adverse_reaction_risk.v1]/data[at0001]/items[at0009]/items[at0089], code=at0089, itemType=ELEMENT, level=4, text=Severity of reaction, description=Clinical assessment of the severity of the reaction event as a whole, potentially considering multiple different manifestations., comment=It is acknowledged that this assessment is very subjective. There may be some some specific practice domains where objective scales have been applied. Objective scales can be included in this model using the 'Reaction details' Cluster., uncommonOntologyItems={source=DAM}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Coded Text
    • Mild 
    • Moderate 
    • Severe 
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.medication_list.v1]/content[openEHR-EHR-EVALUATION.adverse_reaction_risk.v1]/data[at0001]/items[at0009]/items[at0020], code=at0020, itemType=ELEMENT, level=4, text=Initial exposure, description=Record of the date and/or time of the first exposure to the Substance for this Reaction Event., comment=Exposure can be more complicated by more than one exposure events leading to a reaction. Further details about the nature of the exposure can be provided by use of additional archetypes in the 'Exposure details' SLOT or as text in the 'Exposure description'., uncommonOntologyItems={source=FHIR, openEHR,DAM}, 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-EVALUATION.adverse_reaction_risk.v1]/data[at0001]/items[at0009]/items[at0025], code=at0025, itemType=ELEMENT, level=4, text=Duration of exposure, description=The total amount of time the individual was exposed to the identified 'Specific substance'., comment=null, uncommonOntologyItems={source=openEHR}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.medication_list.v1]/content[openEHR-EHR-EVALUATION.adverse_reaction_risk.v1]/data[at0001]/items[at0009]/items[at0106], code=at0106, itemType=ELEMENT, level=4, text=Route of exposure, description=Identification of the route by which the subject was exposed to the identified 'Specific substance'., comment=Coding of the Route of Exposure with a terminology should be used wherever possible., uncommonOntologyItems={source=FHIR, DAM}, 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-EVALUATION.adverse_reaction_risk.v1]/data[at0001]/items[at0009]/items[at0018], code=at0018, itemType=ELEMENT, level=4, text=Exposure description, description=Narrative description about exposure to the identified 'Specific substance'., comment=null, uncommonOntologyItems={source=openEHR}, 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-EVALUATION.adverse_reaction_risk.v1]/data[at0001]/items[at0009]/items[at0040], code=at0040, itemType=ELEMENT, level=4, text=Clinical management description, description=Narrative description about the clinical management provided., comment=null, uncommonOntologyItems={source=openEHR}, 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-EVALUATION.adverse_reaction_risk.v1]/data[at0001]/items[at0009]/items[at0032], code=at0032, itemType=ELEMENT, level=4, text=Reaction comment, description=Additional narrative about the adverse reaction event not captured in other fields., comment=null, uncommonOntologyItems={source=openEHR}, 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-EVALUATION.adverse_reaction_risk.v1]/protocol[at0042], code=at0042, 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-EVALUATION.adverse_reaction_risk.v1]/protocol[at0042]/items[at0062], code=at0062, itemType=ELEMENT, level=3, text=Last updated, description=Date when the propensity or the reaction event was updated., comment=Note: maps to recordedDate in FHIR., uncommonOntologyItems={source=openEHR, FHIR, DAM}, 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-EVALUATION.adverse_reaction_risk.v1]/protocol[at0042]/items[at0047], code=at0047, itemType=ELEMENT, level=3, text=Supporting clinical record information, description=Link to further information about the presentation and findings that exist elsewhere in the health record, including allergy test reports., comment=For example, presenting symptoms, examination findings, diagnosis etc. [Note: FHIR,DAM: Maps to Sensitivity Test.], uncommonOntologyItems={source=FHIR, openEHR, DAM}, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_EHR_URI, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.medication_list.v1]/content[openEHR-EHR-EVALUATION.adverse_reaction_risk.v1]/protocol[at0042]/items[at0044], code=at0044, itemType=ELEMENT, level=3, text=Reaction reported?, description=Has the adverse reaction ever been reported to a regulatory body?, comment=null, uncommonOntologyItems={source=openEHR}, 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.medication_list.v1]/content[openEHR-EHR-EVALUATION.adverse_reaction_risk.v1]/protocol[at0042]/items[at0099], code=at0099, itemType=CLUSTER, level=3, text=Report summary, description=Structured details about reports that have been forwarded to regulatory bodies., 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-EVALUATION.adverse_reaction_risk.v1]/protocol[at0042]/items[at0099]/items[at0125], code=at0125, itemType=ELEMENT, level=4, text=Date of report, 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